| NPI | 1992767016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES THOMAS QUESENBERRY President 712-255-6063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IA 29270) |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2013-02-02 |