| NPI | 1932717220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DINA VALLADARES Director, Payer Enrollment 561-514-5822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2020-07-22 |