| NPI | 1831460146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINAY M RAO Administrator 951-640-3027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: CA 05D0573549) |
| Additional Taxonomies | 207ZC0500X Pathology Cytopathology (Licence: CA 05D0573549) |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2012-01-18 |