| NPI | 1932058195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURICE TERRELL HAMPTON Authorized Official/Owner 662-834-3432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2026-01-22 |
| Last Update Date | 2026-05-11 |