NPI | 1508817651 |
---|---|
Entity Type | Organization |
Authorized Contact | CINDY L MULL System Director Credentialing 570-271-6603 |
Organization Subpart ? | No |
Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine |
Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology | |
Enumeration Date | 2006-05-13 |
Last Update Date | 2020-03-31 |