NPI | 1972012599 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN JEFFERSON DAWSON Cmo 509-222-1275 |
Organization Subpart ? | No |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MD 5000076869) |
Enumeration Date | 2017-09-26 |
Last Update Date | 2023-08-31 |