| NPI | 1982373361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIZZIE BLAND Director 414-418-4410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2021-09-09 |
| Last Update Date | 2022-11-30 |