| NPI | 1942272620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SVEN A SWANSON President 706-475-3398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: GA 044666) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: GA 044666) |
| 207ZH0000X Pathology, Hematology (Licence: GA 050116) | |
| 207ZP0104X Pathology, Chemical Pathology (Licence: GA 044666) | |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2008-01-22 |