| NPI | 1568492270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESIREE A CARLSON President 508-941-7414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2020-08-22 |