| NPI | 1982619466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA STAYBOLDT President 619-325-8748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology |
| 207ZD0900X Pathology, Dermatopathology | |
| 207ZH0000X Pathology, Hematology | |
| 207ZI0100X Pathology, Immunopathology | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2008-06-20 |