| NPI | 1104168319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE SHUTTER President 305-849-3321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2013-09-16 |