| NPI | 1134652340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONALI SHUKLA President 219-326-2403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2017-04-05 |