| NPI | 1710102207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN A MECKSTROTH Owner 239-593-6201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2014-06-18 |