| NPI | 1720057367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROME S BURKE President 510-204-1642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZC0500X Pathology, Cytopathology |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2020-08-22 |