Kingsley Lane Pathology Associates Pc

NPI 1255491411 - Pathology - 207ZC0500X

NPI Details
NPI 1255491411
Enumeration Date 12/11/2006
Last Updated 12/10/2014
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name GERARD GERARD
Position VP-ATTENDING PHYSICIAN
Phone (757) 398-2258
Fax
Practice Location
3636 HIGH ST
1ST FLOOR LAB
PORTSMOUTH VA, 23707-3236, US
Phone (757) 398-2258
Fax
Business Location
PO BOX 758994
BALTIMORE MD, 21275-6412, US
Phone (800) 353-0788
Fax (804) 355-6031
Toxanomy
Taxonomy Code 207ZC0500X
License State Virginia
License Number 0101041352
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According to our database, Kingsley Lane Pathology Associates Pc NPI is 1255491411, taxonomy code is 207ZC0500X and license number is 0101041352, license state is located at Virginia. Kingsley Lane Pathology Associates Pc physically located at 3636 High St, Portsmouth VA, 23707-3236. NPI Number 1033115704 has the healthcare provider type.

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1255491411 NPI number is provided on an as is basis without warranty of any kind. 1255491411 is maintained by the National Plan & Provider Enumeration System. The contents of Kingsley Lane Pathology Associates Pc are for informational purposes only.