# CLIN-PATH DIAGNOSTICS, LLC

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

## Provider details

- **NPI number:** 1154350932
- **Authorized official:** MR. ROBERT DE LA TORRE (C.O.O.)
- **Authorized official phone:** (602) 685-5211

## Contact information

- **Practice address:** 2109 S. 48TH STREET, SUITE 102, TEMPE, AZ 85282
- **Practice address phone:** (602) 424-2889
- **Practice address fax:** (602) 424-2569
- **Mailing address:** PO BOX 42210, PHOENIX, AZ 85080
- **Mailing address phone:** (623) 889-7403
- **Mailing address fax:** (623) 889-7407

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | AZ | Yes |
| 291U00000X | Clinical Medical Laboratory | — | NULL | — |

## Other

- **Enumeration date:** 07/02/2006
- **Last updated:** 12/18/2013