| 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 |
| Enumeration Date | 2020-11-24 |
| Last Update Date | 2026-02-26 |