| NPI | 1174515860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY HUDSON President 985-649-8802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2020-08-22 |