# PATHOLOGY ASSOCIATES OF MID LOUISIANA

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

## Provider details

- **NPI number:** 1235127663
- **Authorized official:** GEORGE K. HARRISON MD (PARTNER)
- **Authorized official phone:** (318) 621-8820

## Contact information

- **Practice address:** 2915 MISSOURI AVE, SHREVEPORT, LA 71109-4327
- **Practice address phone:** (318) 621-8820
- **Mailing address:** PO BOX 731281, DALLAS, TX 75373-1281
- **Mailing address phone:** (318) 841-9526
- **Mailing address fax:** (318) 841-9551

## Taxonomy

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

## Other

- **Enumeration date:** 10/10/2005
- **Last updated:** 06/12/2013
