| NPI | 1790436350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARENCE W. BROWN Owner 312-300-3392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine |
| Enumeration Date | 2022-01-15 |
| Last Update Date | 2022-01-15 |