| NPI | 1578823365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANE SANDQUIST President 228-467-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2012-05-25 |