| NPI | 1487928420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARI L BRITE Administrator 5417-704-4559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2012-04-18 |