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Organization
LUCIDUS DIAGNOSTICS LLC
Active
Organization
LUCIDUS DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN TOBIAS (MD)
(800) 288-8325
Entity
Organization
Contact information
Practice address
3901 S 7TH ST, TERRE HAUTE, IN 47802-5709
(812) 232-0021
Mailing address
2139 AUBURN AVE, CINCINNATI, OH 45219-2906
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
NULL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
01/20/2020
Last updated
01/20/2020
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