| NPI | 1841396066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISHNA REDDY President 815-756-1521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2010-03-23 |