| NPI | 1992142921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAX S MIROT Sole Owner 520-459-1984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2015-05-08 |