| NPI | 1225523608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN LAKE Administrator 205-313-4628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2019-08-14 |