| NPI | 1316797640 |
|---|---|
| Other Name | CC DERMPATH LAB |
| Entity Type | Organization |
| Authorized Contact | COLLIN MATTHEW BLATTNER Owner 602-228-1967 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology |
| Enumeration Date | 2024-03-27 |
| Last Update Date | 2024-03-27 |