| NPI | 1093843450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANNA M DIETEL Credentialing Specialist 225-706-0513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 207ZB0001X Pathology Blood Banking & Transfusion Medicine |
| 207ZC0500X Pathology Cytopathology | |
| 207ZD0900X Pathology Dermatopathology | |
| 207ZH0000X Pathology Hematology | |
| 207ZI0100X Pathology Immunopathology | |
| 207ZM0300X Pathology Medical Microbiology | |
| 207ZN0500X Pathology Neuropathology | |
| 207ZP0007X Pathology Molecular Genetic Pathology | |
| 207ZP0213X Pathology Pediatric Pathology | |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-04-27 |