| NPI | 1629032065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA ERICKSEN President 219-836-2022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2008-03-18 |