| NPI | 1366763245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD M LELEUX Physician 888-950-0844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: LA MD.202714) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: LA MD.202714) |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2016-03-04 |