| NPI | 1174564587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD DEFRAIN President 217-220-2068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2023-07-26 |