| NPI | 1699707943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEAGAN LEE Authorized Official 877-697-2447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2023-08-10 |