| NPI | 1053383141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW M KERSHISNIK President 435-716-5375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: UT 46D0660898) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2008-01-07 |