| NPI | 1972561140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT V RIDENOUR Pathologist President 715-858-3260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine |
| 207ZD0900X Pathology, Dermatopathology | |
| 207ZH0000X Pathology, Hematology | |
| 207ZI0100X Pathology, Immunopathology | |
| 207ZN0500X Pathology, Neuropathology | |
| 207ZP0104X Pathology, Chemical Pathology | |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine | |
| 207ZP0213X Pathology, Pediatric Pathology | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2025-04-26 |