| NPI | 1497223473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMIA FISHER Credential Contract Analyst 812-962-7894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0007X Pathology, Molecular Genetic Pathology |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2022-02-17 |