| NPI | 1669860722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR I CALCOTE Managing Member 228-818-6063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine |
| Enumeration Date | 2014-12-24 |
| Last Update Date | 2023-02-16 |