| NPI | 1508959289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA CHANDLER Medical Director/Owner 662-513-5753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: MS 11707) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |