| NPI | 1902552946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNETRA ZOLLICOFFER Owner 678-499-5745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RM2200X Technician, Pathology, Medical Laboratory |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy |
| Enumeration Date | 2022-02-28 |
| Last Update Date | 2022-02-28 |