| NPI | 1932175502 |
|---|---|
| Doing Business As | PATHOLOGY AND MEDICAL LABORATORY DIAGNOSTIC SERVICES |
| Entity Type | Organization |
| Authorized Contact | SHONDELL BOUIE President 321-636-2211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2022-02-08 |