| NPI | 1720041403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON D LONG President 970-298-2069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2022-05-02 |