| NPI | 1891857702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUNO DIPASQUALE President 239-348-4319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME81670) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2020-08-22 |