| NPI | 1972288975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLEY R SMITH Clinic Manager 615-485-7690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2023-06-16 |
| Last Update Date | 2023-06-22 |