Iac Diagnostic Screening Lab
NPI #1265270441 in Southaven, Mississippi
Provider Information
- NPI Number
- 1265270441
- Entity Type
- Organization
- Organization Name
- Iac Diagnostic Screening Lab
- Primary Specialty
- Homemaker
- Enumeration Date
- Jul 19, 2024
- Last Updated
- Jul 19, 2024
Practice Location
- Address
- 928 GOODMAN RD E STE 202
- City
- Southaven
- State
- Mississippi
- ZIP Code
- 38671-8824
- Phone
- (662) 715-9623
Authorized Official
- Name
- MS. BROOKE FARMER
- Title
- PRESIDENT
- Phone
- (662) 715-9623
Specialties & Taxonomy Codes
| Specialty |
|---|
| Homemaker |
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