| NPI | 1104971183 |
|---|---|
| Former Legal Business Name | DBA CARSON-TAHOE PATHOLOGY, LTD |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH JACK Partner 775-445-8502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NV 5089) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2023-01-19 |