| NPI | 1194978122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANNA M BARKER Credentialing 225-706-0513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2024-06-25 |