| NPI | 1174086581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK BENEDICT Pathologist/President 435-716-4103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2019-04-11 |