| NPI | 1407346232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK DENTON LYLE President And Cmo 760-516-5145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2018-05-17 |