| NPI | 1215829809 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | SASANK PERAMSETTY Medical Director 205-994-8266 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine | 
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology | 
| Enumeration Date | 2025-07-17 | 
| Last Update Date | 2025-08-01 |