| NPI | 1346230984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE D CLARK Authorized Official 907-261-5806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2018-05-22 |