| NPI | 1427823905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES PARKS Member 760-846-4578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine |
| Enumeration Date | 2023-11-15 |
| Last Update Date | 2023-11-15 |