| NPI | 1952581134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGIE S. ELLISON Administrative Director 641-856-2606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: IA 16D1062801) |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2007-11-06 |