| NPI | 1295879278 |
|---|---|
| Doing Business As | DERMPATH LAB |
| Entity Type | Organization |
| Authorized Contact | RUSSEL SELWYN GLAUN Manager 561-706-4843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 800022056) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2020-08-22 |