| NPI | 1134234602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONAS O. DERVILA Principal 703-737-0730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2007-08-31 |