| NPI | 1831765817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN RODKEY Owner/VP Of Operations 850-523-2117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2021-06-01 |
| Last Update Date | 2021-06-01 |