| NPI | 1376519512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH WILKINSON BENNERT President 252-633-8069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: NC 36652) |
| Additional Taxonomies | 207ZC0500X Pathology Cytopathology (Licence: NC 36652) |
| 207ZP0104X Pathology Chemical Pathology (Licence: NC 30691) | |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2008-01-15 |