| NPI | 1992674493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OTEALET CHASE Owner 931-385-7061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246QL0900X Specialist/Technologist, Pathology Laboratory Management |
| Enumeration Date | 2025-11-03 |
| Last Update Date | 2025-11-03 |