| NPI | 1962956078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL WESLEY WARRINGTON Managing Member 615-417-2769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TN 541690) |
| Enumeration Date | 2016-08-05 |
| Last Update Date | 2016-08-05 |