| NPI | 1982630158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY H MATTHEWS Medical Director 502-897-8226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2011-09-12 |