| NPI | 1124875257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JAMAINE DAVIS COO 561-402-4256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2024-05-06 |
| Last Update Date | 2024-05-06 |