| NPI | 1912684929 |
|---|---|
| Doing Business As | IMD PATH |
| Entity Type | Organization |
| Authorized Contact | ISRAEL VILLASENOR Chief Operating Officer 831-818-4051 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2023-06-30 |
| Last Update Date | 2023-06-30 |