| NPI | 1316919079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT QUIREY AO 800-890-6220 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: IN 15D1002565) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2025-02-20 |