| NPI | 1124384367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE T BREWER Director 877-892-9813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2012-04-02 |