| NPI | 1891182812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN STEPHENS Director 601-794-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MS 1363) |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2024-01-30 |