# PATHOLOGY SPECIALIST OF ARIZONA, LLP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pathology Specialist of Arizona, Pathology Specialists of Arizona
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174503999
- **Authorized official:** MS. BEA SONTHIPANYA (CREDENTIALING DIRECTOR)
- **Authorized official phone:** (480) 478-8057

## Contact information

- **Practice address:** 424 S 56TH ST STE 120, PHOENIX, AZ 85034-2177
- **Practice address phone:** (602) 685-5166
- **Practice address fax:** (602) 685-5325
- **Mailing address:** PO BOX 29650, DEPT \#880445, PHOENIX, AZ 85038-2210
- **Mailing address phone:** (623) 266-7770
- **Mailing address fax:** (623) 322-4639

## Taxonomy

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

## Other

- **Enumeration date:** 01/18/2006
- **Last updated:** 07/23/2024