| NPI | 1154462307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES L. PUCKETT President 814-226-1399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 207UN0901X Nuclear Medicine Nuclear Cardiology |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2013-01-25 |