NPI | 1174564025 |
---|---|
Entity Type | Organization |
Authorized Contact | SHEILA D LYNAM President 360-501-8306 |
Organization Subpart ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
Additional Taxonomies | 207U00000X Nuclear Medicine |
Enumeration Date | 2006-06-10 |
Last Update Date | 2016-11-15 |