| NPI | 1891758314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH LUNDEEN Treasurer 800-288-8325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: MN 854) |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2025-04-07 |