| NPI | 1861554602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY THERESE UCKERMAN Owner 708-229-5813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2024-09-16 |