| NPI | 1336120393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN D DZIABIS President 765-472-0516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 207U00000X Nuclear Medicine |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2015-08-03 |