| NPI | 1376519801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALISHA JOHNSON President 606-408-4029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2023-06-20 |