| NPI | 1679547749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES P HERALD Billing Manager 305-798-2064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2022-03-22 |