| NPI | 1508824806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN STOCKBAUER Authorized Representative 346-238-5867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine |
| 207ZC0500X Pathology, Cytopathology | |
| 207ZH0000X Pathology, Hematology | |
| 207ZN0500X Pathology, Neuropathology | |
| 207ZP0213X Pathology, Pediatric Pathology | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2025-07-29 |