| NPI | 1053238055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SHANNON CEO 812-282-3899 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 208800000X Urology |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2026-07-01 |
| Last Update Date | 2026-07-01 |