| NPI | 1730310418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY DANIEL NOVAK Owner 928-774-1693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AZ 41896) |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2009-07-29 |