| NPI | 1235974080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GRATTENDICK CFO 954-803-9405 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2024-06-25 |
| Last Update Date | 2024-06-25 |