| NPI | 1194030437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL WASDAHL MD President 330-833-5530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2010-08-11 |