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Organization
DUCKWORTH LABORATORIES INC.
Active
Organization
DUCKWORTH LABORATORIES INC.
Active
Parent organization
DUCKWORTH PATHOLOGY GROUP INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
DUCKWORTH PATHOLOGY GROUP INC.
Authorized official
DOROTHY L BLACK CHCO (COMPLIANCE OFFICETR)
(901) 725-7551
Entity
Organization
Contact information
Practice address
1211 UNION AVE, SUITE 300, MEMPHIS, TN 38104-6638
(901) 725-7551
(901) 725-9721
Mailing address
1211 UNION AVE, SUITE 300, MEMPHIS, TN 38104-6638
(901) 725-7551
(901) 725-9721
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
3282
TN
Other
Enumeration date
01/03/2013
Last updated
01/18/2013
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