| NPI | 1497824833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH CAPP Physician Supervisor 01181611-732-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246QM0706X Spec/Tech, Pathology, Medical Technologist |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2025-09-11 |