| NPI | 1447020185 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MICHAEL JAMAINE DAVIS Chief Operations Officer 561-402-4256 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology | 
| Enumeration Date | 2024-01-04 | 
| Last Update Date | 2024-01-04 |