United Pathologist Laboratory

NPI 1508101007 - Clinical Medical Laboratory - 291U00000X

NPI Details
NPI 1508101007
Enumeration Date 12/10/2012
Last Updated 12/10/2012
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name MARK MARK
Position PRESIDENT
Phone (386) 423-5500
Fax
Practice Location
610 W DR MARTIN LUTHER KING JR BLVD
TAMPA FL, 33603-3450, US
Phone (386) 423-5500
Fax
Business Location
612 PALMETTO ST
NEW SMYRNA BEACH FL, 32168-7327, US
Phone
Fax
Toxanomy
Taxonomy Code 291U00000X
License State Florida
License Number 800020973
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According to our database, United Pathologist Laboratory NPI is 1508101007, taxonomy code is 291U00000X and license number is 800020973, license state is located at Florida. United Pathologist Laboratory physically located at 610 W Dr Martin Luther King Jr Blvd, Tampa FL, 33603-3450. NPI Number 1033115704 has the healthcare provider type.

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1508101007 NPI number is provided on an as is basis without warranty of any kind. 1508101007 is maintained by the National Plan & Provider Enumeration System. The contents of United Pathologist Laboratory are for informational purposes only.