| NPI | 1891547477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARRONICA STEWART Laboratory Director 877-302-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy |
| Enumeration Date | 2024-04-04 |
| Last Update Date | 2025-04-09 |