| NPI | 1902068265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELVIN J. VAN BOVEN President 918-582-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2020-06-12 |