| NPI | 1073585774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD CLAYTON MCDONALD President 615-222-6756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TN 8814) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: TN 39425) |
| 207ZC0500X Pathology, Cytopathology (Licence: TN 8814) | |
| 207ZH0000X Pathology, Hematology (Licence: TN 20647) | |
| 207ZM0300X Pathology, Medical Microbiology (Licence: TN 8773) | |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2008-01-30 |