| NPI | 1790885523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD G. STINSON Owner 307-577-2198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2008-10-08 |