| NPI | 1033171467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY M. HARTLEIN Business Manager 501-663-4116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AR C7738) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: AR E3344) |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2025-07-18 |