| NPI | 1992133870 |
|---|---|
| Other Name | BETHANY PATHOLOGY LAB |
| Entity Type | Organization |
| Authorized Contact | MANDY WOMBLE CFO 336-883-0029 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 207ZC0500X Pathology Cytopathology |
| 207ZP0101X Pathology Anatomic Pathology | |
| Enumeration Date | 2013-10-31 |
| Last Update Date | 2013-10-31 |