| NPI | 1982369989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANTEL JOHNSON Owner 877-491-2212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician |
| Enumeration Date | 2021-11-03 |
| Last Update Date | 2021-11-03 |