| NPI | 1710457510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERREL ROSS Interim Director 415-476-3625 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2018-12-05 |
| Last Update Date | 2025-05-20 |