| NPI | 1033168489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY P ANZALONE President/Owner 870-862-8046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 207ZC0500X Pathology Cytopathology |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2008-06-13 |