| NPI | 1891192209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA A HILL Physician/Member 571-375-0755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2015-12-14 |