| NPI | 1306380092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WILLIAM KOETT President 951-486-5255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2016-12-14 |
| Last Update Date | 2016-12-14 |