| NPI | 1326642083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BREGETTE L BRADY Business Office Manager 501-500-6767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2020-11-24 |
| Last Update Date | 2024-02-08 |