| NPI | 1225099237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES BERNARD CARRY President 619-740-4492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 207ZC0500X Pathology Cytopathology |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2021-08-03 |