| NPI | 1265493878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORA J SHEHI President 386-747-6443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2023-09-27 |