| NPI | 1750346144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD J KENDALL Head Physician 251-633-3617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: AL 7939) |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: AL 13909) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: AL 00022814) | |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2014-10-09 |