| NPI | 1134226616 |
|---|---|
| Other Name | MARY SHIELS |
| Entity Type | Organization |
| Authorized Contact | STEPHEN A. DILLEMUTH Assistant Treasury 561-712-6242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX 45D0916982) |
| Enumeration Date | 2006-09-19 |
| Last Update Date | 2020-08-22 |