| NPI | 1891590097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARION YORK Credentialing Manager 501-681-2532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine |
| Enumeration Date | 2025-02-13 |
| Last Update Date | 2025-02-13 |