| NPI | 1497816607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM PENICK Associate Director 918-561-8322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-08-22 |