| NPI | 1639791882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD DAVID BARROWS Owner 760-522-2849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2020-05-11 |