| NPI | 1902356967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSE W. SIMPSON CEO 601-360-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MS 25D2119763) |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2016-10-13 |