| NPI | 1043368715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT L MILLER President 870-414-4026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: AR MC-1562) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2010-08-11 |