| NPI | 1952111981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAOMI CHINEYE RENFROE Owner 877-822-2349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 202K00000X |
| 246QH0600X Spec/Tech, Pathology, Histology | |
| 246RM2200X Technician, Pathology, Medical Laboratory | |
| Enumeration Date | 2025-01-11 |
| Last Update Date | 2025-01-11 |