| NPI | 1902538382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT BROOME Administration 601-596-3786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RM2200X Technician, Pathology, Medical Laboratory |
| Enumeration Date | 2022-06-25 |
| Last Update Date | 2022-06-25 |