| NPI | 1902867997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE A STRAYER President 217-464-2966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2015-01-07 |