| NPI | 1538576947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES A PETTERCHAK Member/Owner 314-996-5218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZC0006X Pathology, Clinical Pathology |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2023-03-30 |