Pathology Services Laboratory Pa

NPI 1093889347 - Pathology - 207ZP0102X

NPI Details
NPI 1093889347
Enumeration Date 11/20/2006
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name SCHARLETTE SCHARLETTE
Position OFFICE MANAGER
Phone (479) 968-6781
Fax (479) 968-3074
Practice Location
1430 WEST C STREET
RUSSELLVILLE AR, 72811-0925, US
Phone (479) 968-6781
Fax (479) 968-3074
Business Location
PO BOX 925
RUSSELLVILLE AR, 72811-0925, US
Phone (479) 968-6781
Fax (479) 968-3074
Toxanomy
Taxonomy Code 207ZP0102X
License State Arkansas
License Number MC0330
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According to our database, Pathology Services Laboratory Pa NPI is 1093889347, taxonomy code is 207ZP0102X and license number is MC0330, license state is located at Arkansas. Pathology Services Laboratory Pa physically located at 1430 West C Street, Russellville AR, 72811-0925. NPI Number 1033115704 has the healthcare provider type.

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1093889347 NPI number is provided on an as is basis without warranty of any kind. 1093889347 is maintained by the National Plan & Provider Enumeration System. The contents of Pathology Services Laboratory Pa are for informational purposes only.