| NPI | 1053442541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO TAMARA Owner 304-264-1212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2013-06-05 |