| NPI | 1750488987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON P LAKE President 714-741-2765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 207ZC0500X Pathology Cytopathology |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-07-29 |