| NPI | 1750563219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE G MORAN President 708-492-0502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2008-04-20 |