| NPI | 1790976686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM F BLANK Pathologist 5738-873-6321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MO 34699) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2010-03-22 |