| NPI | 1235727546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN Z COLON Credentialing Department 702-772-9755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine |
| Enumeration Date | 2021-01-04 |
| Last Update Date | 2021-01-04 |