| NPI | 1942223029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND CHRISTOPHER WICKER VP. General Manager 678-477-4402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2025-02-20 |