| NPI | 1194789867 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | WAYNE PENKA Billing Specialist 402-717-2875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2015-01-26 |