| NPI | 1336497759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIT SHACKLEY President 626-397-5667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A107373) |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2012-08-15 |