| NPI | 1437704251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAUMAN NISAR Director/Owner 712-389-5242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2019-08-08 |