| NPI | 1164080529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLEN OWEN BAILEY CEO 251-471-7118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2019-05-31 |