| NPI | 1023592540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT KILCOYNE Administrator 773-649-3099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2018-09-20 |