| NPI | 1043011711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GREAS Owner/CEO 818-406-6439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology |
| Additional Taxonomies | 207N00000X Dermatology |
| 207ZH0000X Pathology, Hematology | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology | |
| Enumeration Date | 2025-03-20 |
| Last Update Date | 2025-03-20 |