| NPI | 1952070674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELICA JEFFERSON Owner 205-585-7286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 174H00000X Health Educator |
| Enumeration Date | 2021-09-07 |
| Last Update Date | 2021-09-18 |