| NPI | 1063870699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN MCCALIP Owner 937-825-0274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OH 35.089844) |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2016-02-10 |