| NPI | 1902905755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL B. BRUBAKER Owner 559-248-0116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZI0100X Pathology Immunopathology (Licence: CA 020A53070) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-05-01 |