| NPI | 1922670090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMIKA MASHAY WILLIAMS Phlebotomist 309-863-9429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Enumeration Date | 2021-07-16 |
| Last Update Date | 2021-07-16 |