| NPI | 1558337212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN DOUGLAS WHITE Authorized Official 256-629-1825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AL 00015292) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2019-03-12 |