| NPI | 1962464792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESUS SOCRATES President 814-643-6207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA 39D0187385) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: PA 39D0187385) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2008-05-06 |