NPI | 1235469685 |
---|---|
Doing Business As | ORANGE REGIONAL PATHOLOGY ASSOCIATE |
Entity Type | Organization |
Authorized Contact | JON P LAKE President 714-633-0011 |
Organization Subpart ? | No |
Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: CA 05D0582538) |
Additional Taxonomies | 207ZC0500X Pathology Cytopathology (Licence: CA 05D0582538) |
Enumeration Date | 2010-01-07 |
Last Update Date | 2010-05-03 |