| NPI | 1235865452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEA WRIGHT Administrator 618-993-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2022-07-29 |
| Last Update Date | 2022-09-08 |