| NPI | 1235101965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL E. DODDS President 800-779-4858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: SC 7122) |
| Additional Taxonomies | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: SC 10667) |
| 207ZD0900X Pathology, Dermatopathology (Licence: SC 14206) | |
| 207ZF0201X Pathology, Forensic Pathology (Licence: SC 10667) | |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2008-05-30 |