| NPI | 1164494142 |
|---|---|
| Other Name | DERMPATH DIAGNOSTICS OF WI |
| Entity Type | Organization |
| Authorized Contact | DARREN THOMAS WHEELER Vice President 702-733-7866 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WI 52D0661946) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2024-09-20 |