| NPI | 1871522680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY MCDAVIT Authorized Official 209-573-6555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2024-04-03 |