| NPI | 1386159044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE MOORE Finance 970-245-0990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2018-02-05 |