| NPI | 1518950476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA R. BALAJ Partner 937-224-9326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: OH 36D0349341) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2013-03-05 |