# PATHOLOGY LABORATORY ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134190648
- **Authorized official:** MARK E SHERTZER MD (PRESIDENT)
- **Authorized official phone:** (334) 671-1696

## Contact information

- **Practice address:** 1108 ROSS CLARK CIR, DOTHAN, AL 36301-3022
- **Practice address phone:** (334) 671-1696
- **Practice address fax:** (334) 794-0721
- **Mailing address:** 2015 ALEXANDER DR, DOTHAN, AL 36301-3003
- **Mailing address phone:** (334) 671-1696
- **Mailing address fax:** (334) 794-0721

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | AL | Yes |

## Other

- **Enumeration date:** 02/01/2006
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 528402240 | — | AL |