| NPI | 1821095167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA BRADLEY Billing Director 251-342-0030 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: AL 09890) |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2023-12-22 |