| NPI | 1477513414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE GARCIA Billing Manager 479-452-9419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2020-07-20 |