| NPI | 1639107295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE MIRANDA Office Manager 515-247-4467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IA na) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2024-02-04 |