| NPI | 1881475119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY ROSS MCCRAY Owner 904-434-6875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247ZC0005X Pathology Clinical Laboratory Director, Non-physician |
| Enumeration Date | 2023-10-12 |
| Last Update Date | 2023-10-12 |