| NPI | 1982899043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC REIMUND Owner President 662-334-9829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine (Licence: MS 14678) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2008-06-04 |