| NPI | 1114970761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL P HAYES Administrator 309-624-9011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2007-10-30 |