NPI | 1811187529 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA D ALTMANN Authorized Representative 337-365-5944 |
Organization Subpart ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
Enumeration Date | 2007-07-29 |
Last Update Date | 2011-02-16 |