| NPI | 1316909518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERVIN BAXTER SHAW President 803-791-2410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: SC 6123) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: SC 19801) |
| 207ZH0000X Pathology, Hematology (Licence: SC 8992) | |
| 207ZN0500X Pathology, Neuropathology | |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2016-03-03 |