| NPI | 1548291784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON MULHOLLAND Dr. 800-288-8325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: CA G58290) |
| 291U00000X Clinical Medical Laboratory (Licence: CA G12242) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2014-06-24 |