| NPI | 1104887330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO J DELGADO President 678-312-4524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2017-06-08 |