| NPI | 1285739938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS FARRELL Authorized Official 941-745-7311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2021-11-14 |