| NPI | 1790655769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORA J. SHEHI President 386-425-4139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2025-11-06 |
| Last Update Date | 2025-11-06 |