| NPI | 1982365383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANTEL RAY Registered Nurse/ Owner 423-314-9582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health |
| Enumeration Date | 2022-01-07 |
| Last Update Date | 2022-01-14 |