| NPI | 1215330790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL S SMITH Authorized Signer 601-200-3840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2014-09-29 |