| NPI | 1992526222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATHEW BEASLEY CEO 855-727-2522 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine |
| 251K00000X Public Health or Welfare | |
| Enumeration Date | 2024-10-19 |
| Last Update Date | 2024-12-04 |