| NPI | 1093057655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERNANDO L LOMBA Authorized Official 941-766-4120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2019-09-18 |