| NPI | 1659526606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CIELETTE M KARN Owner 307-856-4161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: WY 8012A) |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2008-12-15 |