| NPI | 1114966892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD LYLE WEGNER President 605-882-7749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2020-08-22 |