| NPI | 1528248556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD MILBURN NUNNALLY Owner 318-677-7450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: LA 007053) |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2008-06-18 |