| NPI | 1720014087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH KRONZ President 208-466-2661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2021-02-23 |