| NPI | 1548363138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZHENQIANG GAO Authorized Official 217-788-3060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2023-10-11 |