| NPI | 1720817125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARREN THOMAS WHEELER Vice President 866-697-8378 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2024-08-01 |
| Last Update Date | 2026-08-19 |