| NPI | 1316917008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEANN LANG Practice Administrator 715-847-0075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2023-10-18 |