| NPI | 1427823475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORA J. SHEHI Owner 386-425-4139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2023-11-20 |
| Last Update Date | 2023-11-20 |