| NPI | 1699554592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN BLAKE RODMAN Authorized Official 800-288-8325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2023-09-28 |
| Last Update Date | 2024-01-09 |