NPI | 1770977951 |
---|---|
Doing Business As | IMD PATH |
Entity Type | Organization |
Authorized Contact | ISRAEL VILLASENSOR Executive Vice President/Secretary 831-818-4051 |
Organization Subpart ? | No |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: CO 195377) |
Enumeration Date | 2015-03-25 |
Last Update Date | 2017-01-25 |