| NPI | 1659664654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL HERMANN President 909-558-5175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA 05D2021238) |
| Additional Taxonomies | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: CA 05D2021238) |
| 207ZC0500X Pathology, Cytopathology (Licence: CA 05D2021238) | |
| 207ZF0201X Pathology, Forensic Pathology (Licence: CA 05D2021238) | |
| 207ZH0000X Pathology, Hematology (Licence: CA 05D2021238) | |
| 207ZM0300X Pathology, Medical Microbiology (Licence: CA 05D2021238) | |
| 207ZN0500X Pathology, Neuropathology (Licence: CA 05D2021238) | |
| 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: CA 05D2021238) | |
| 207ZP0213X Pathology, Pediatric Pathology (Licence: CA 05D2021238) | |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2022-12-16 |