| NPI | 1689311094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF CHRISTINSON CEO 970-212-0557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2022-05-17 |
| Last Update Date | 2022-05-17 |