| NPI | 1124140926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENE CZYSZCZON Medical Director 541-382-7696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OR 38D0628303) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2025-12-04 |