| NPI | 1881457711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARSHA CARTER AMBEAU Administrator 601-304-2043 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine |
| Enumeration Date | 2024-02-02 |
| Last Update Date | 2024-02-02 |