| NPI | 1467041442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUSTAFA MAHDAVY Owner 501-960-4848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2021-01-13 |
| Last Update Date | 2022-03-28 |