| NPI | 1235639360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE HERTZBERG Authorized Signor 678-319-3304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine |
| Additional Taxonomies | 207ZI0100X Pathology, Immunopathology |
| 207ZP0101X Pathology, Anatomic Pathology | |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2018-02-15 |