| NPI | 1417636093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANETTE J BOADO Billing Supervisor 916-447-6267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2023-07-12 |
| Last Update Date | 2023-07-12 |