| NPI | 1841943552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRANT BROWN Director 888-984-1335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician |
| Enumeration Date | 2022-02-02 |
| Last Update Date | 2022-02-02 |