| NPI | 1386626083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN C ROMER Medical Director/Vice President 256-533-1480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology |
| 207ZC0500X Pathology, Cytopathology | |
| 291U00000X Clinical Medical Laboratory (Licence: AL L4506) | |
| 291U00000X Clinical Medical Laboratory (Licence: AL L4545) | |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2008-07-18 |