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 |