| NPI | 1164739256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFAEL NIVAR President 419-226-5058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OH 35057879) |
| Enumeration Date | 2010-09-10 |
| Last Update Date | 2010-09-10 |