| NPI | 1154305779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY L BLACK Managed Care Coordinator 901-725-7551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2007-09-06 |