| NPI | 1568434256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL ROBERT HAASE President 931-551-1939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TN 970) |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2008-02-29 |