| NPI | 1356346530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOGUSLAW I UCHMAN President 765-298-5172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: IN 01027944A) |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2014-03-10 |