| NPI | 1235155581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REID RUSSELL HEFFNER Authorized Official 716-626-7927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2015-04-17 |