| NPI | 1275622748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRELL RENE SUAREZ Project Manager 818-388-2364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 207ZB0001X Pathology Blood Banking & Transfusion Medicine |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2011-08-18 |