| NPI | 1174212203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAFARRA DEMETRIC YOUNG-GAYLOR Manager 601-405-4163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2023-05-04 |
| Last Update Date | 2023-05-04 |