| NPI | 1780656363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH ROBERT MODZELEWSKI President 803-256-5335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: SC 19654) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: SC 19654) |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2008-01-23 |