| NPI | 1457344178 |
|---|---|
| Doing Business As | CREIGHTON SURGICAL ORAL PATHOLOGY SERVICE |
| Entity Type | Organization |
| Authorized Contact | PAUL C EDWARDS Director 402-280-5020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NE 28D0652614) |
| Enumeration Date | 2005-08-29 |
| Last Update Date | 2020-08-22 |