| NPI | 1396740015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEWEY L DEAN Owner/Pathologist 270-752-2270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2014-07-07 |