| NPI | 1801857834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH C NIEBERG President 323-267-0477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 207ZC0500X Pathology Cytopathology |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2010-06-01 |