| NPI | 1306834346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOLPH D HAEGE President 618-234-2120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2022-07-21 |