| NPI | 1003069493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM A HENTHORNE President 330-375-3786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2014-06-04 |