| NPI | 1922150911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN COUCH Controller 606-337-3051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: KY 18D0323967) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2018-05-09 |