| NPI | 1285617316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD B WYATT Owner 515-574-6742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2007-11-13 |