| NPI | 1376525303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE M MACKIE President 574-546-2211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2015-04-06 |