| NPI | 1508132366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN SUZANNE LEACH President 909-580-0010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: CA C0625387) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2012-03-27 |