| NPI | 1962485136 |
|---|---|
| Doing Business As | PATHOLOGY LABORATORY |
| Entity Type | Organization |
| Authorized Contact | DAVID STARK CEO 515-241-6507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: IA 16D0383397) |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2022-11-08 |