| NPI | 1710964580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELLA GRONEMEYER Owner 866-651-8747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL 036062202) |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2020-08-22 |