| NPI | 1609121557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KURT KRATZ Sole Mbr 601-261-2587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2012-07-20 |