| NPI | 1578597738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD CHAMPAGNE President 309-647-5240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2012-08-13 |