| NPI | 1194492199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDEY CLARKE LANDKROHN Director 904-244-3603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine |
| Enumeration Date | 2021-08-26 |
| Last Update Date | 2021-08-26 |