| NPI | 1063743052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK D GILLIS Business Manager 918-712-5571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2010-01-28 |