| NPI | 1144324757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YANET A PANTALEON Owner 904-819-5155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2020-08-05 |