| NPI | 1114995958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISSARA AYUTHIA President 620-225-8437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2020-08-22 |