Integrated Regional Laboratories Pathology Services, LLC
Pathology, Anatomic Pathology & Clinical Pathology in Orlando, FL. Organization (NPI-2).
NPI number1013698331
StatusActive
Last updated in NPPESJul 28, 2023
Details
- NPI
- 1013698331
- Entity type
- Organization (NPI-2)
- Legal business name
- Integrated Regional Laboratories Pathology Services, LLC
- Organization subpart
- No
- Enumeration date
- Jul 28, 2023
- Certification date
- Jul 28, 2023
- Last updated
- Jul 28, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | – | – | Yes |
Practice location
5597 Lee Vista BlvdOrlando, FL 32812-3004
Phone 407-846-2266
Mailing address
Po Box 741087Atlanta, GA 30374-1087
Authorized official
Michael Jamaine Davis
Chief Financial Officer
5614024256
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