| NPI | 1619398997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENIN J PETERS President/CEO 336-883-0029 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology |
| 207ZP0101X Pathology, Anatomic Pathology | |
| Enumeration Date | 2014-01-03 |
| Last Update Date | 2021-04-06 |