| NPI | 1962980300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER BRANCH CEO / Owner 225-329-7273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine |
| Enumeration Date | 2018-07-28 |
| Last Update Date | 2019-06-26 |