| NPI | 1952995359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BREGETTE BRADY Billing Manager 501-500-6640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2021-02-25 |
| Last Update Date | 2021-02-25 |