| NPI | 1437174216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMA M PHILLIPS Director Of Physician Billing 731-512-1510 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine |
| 207ZC0500X Pathology, Cytopathology | |
| 207ZD0900X Pathology, Dermatopathology | |
| 207ZH0000X Pathology, Hematology | |
| 207ZI0100X Pathology, Immunopathology | |
| 207ZM0300X Pathology, Medical Microbiology | |
| 207ZN0500X Pathology, Neuropathology | |
| 207ZP0007X Pathology, Molecular Genetic Pathology | |
| 207ZP0213X Pathology, Pediatric Pathology | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2008-05-16 |