| NPI | 1316274764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS CARICO CEO 843-605-5087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 207ZC0500X Pathology Cytopathology |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2022-06-01 |