| NPI | 1063484756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD G JACKSON President 859-239-2220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: KY 18160) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: KY 28116) |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2020-09-09 |