| NPI | 1992199590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL HOUSE President 765-521-0890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2015-03-23 |