| NPI | 1376029041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SYDENHAM CLARKE Pathologist 870-414-4073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AR E-11363) |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2018-10-26 |