| NPI | 1700812047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS SHEVLIN President 217-522-7004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2010-03-22 |