Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
INTEGRATED REGIONAL LABORATORIES PATHOLOGY SERVICES, LLC
Active
Organization
INTEGRATED REGIONAL LABORATORIES PATHOLOGY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JAMAINE DAVIS (COO)
(561) 402-4256
Entity
Organization
Contact information
Practice address
160 TWIN SPRINGS WAY, DEFUNIAK SPRINGS, FL 32435-8726
(954) 507-6780
Mailing address
PO BOX 741087, ATLANTA, GA 30374-1087
(954) 507-6780
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
NULL
Other
Enumeration date
09/28/2026
Last updated
09/28/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers