NPI | 1891569919 |
---|---|
Entity Type | Organization |
Authorized Contact | PIA C SIMMONS-EVANS Owner 803-200-1557 |
Organization Subpart ? | No |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2023-11-09 |
Last Update Date | 2023-11-09 |