| NPI | 1487396495 |
|---|---|
| Former Legal Business Name | COVENANT PATHOLOGY ASSOCIATES PC |
| Entity Type | Organization |
| Authorized Contact | DAVID L. STOCKMAN President 989-459-2300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2022-04-11 |
| Last Update Date | 2024-03-31 |