NPI | 1760782122 |
---|---|
Entity Type | Organization |
Authorized Contact | SAM M MICHAELS Incorporator 704-660-3322 |
Organization Subpart ? | No |
Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: NC 34D2015092) |
Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: NC 34D2015092) |
Enumeration Date | 2010-11-01 |
Last Update Date | 2010-11-16 |