| NPI | 1174836894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA J. STAYBOLDT President 619-325-8726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2010-07-22 |