NPI | 1508827924 |
---|---|
Doing Business As | GREAT BASIN PATHOLOGY |
Entity Type | Organization |
Authorized Contact | GEORGE MARDINI President 775-753-5845 |
Organization Subpart ? | No |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NV 29D0966835) |
Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology |
Enumeration Date | 2006-03-28 |
Last Update Date | 2008-08-07 |