| NPI | 1932125358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIDNEY B GRAY Managing Member 227-234-3659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2008-03-31 |