| NPI | 1730119553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANETTE KENNEBREW Administrator 310-225-3220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2023-09-18 |