| NPI | 1942239637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT M MCCORMAC Authorized Official 423-424-3867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology |
| 207ZH0000X Pathology, Hematology | |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine | |
| 207ZP0213X Pathology, Pediatric Pathology | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2019-01-31 |