| NPI | 1992623128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDNEY MONIQUE MCBRIDE Laboratory Director 346-355-8322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2026-07-07 |
| Last Update Date | 2026-07-07 |