| NPI | 1679520464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE WATTLE Medical Billing Rep 209-575-4575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2008-01-29 |