| NPI | 1053364760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK D GILLIS Business Manager 918-742-1478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2023-09-27 |