| NPI | 1639397953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES H GOLLEHER Medical Director 501-268-8175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AR MC0253) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: AR MC0253) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2013-12-05 |