| NPI | 1205173770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY L BLACK Compliance Officetr 901-725-7551 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: TN 3282) |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2013-01-18 |