| NPI | 1891852141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSIE LEE Owner, AO 904-442-9690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2026-01-29 |