# PINKUS DERMATOPATHOLOGY LABORATORY, PC

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

## Provider details

- **NPI number:** 1255964185
- **Authorized official:** DINA VALLADARES (DIRECTOR, PAYER ENROLLMENT)
- **Authorized official phone:** (561) 514-5822

## Contact information

- **Practice address:** 1314 N MACOMB ST, MONROE, MI 48162-3131
- **Practice address phone:** (616) 530-1860
- **Mailing address:** 11025 RCA CENTER DR STE 300, PALM BEACH GARDENS, FL 33410-4269
- **Mailing address phone:** (561) 514-5822

## 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:** 02/19/2020
- **Last updated:** 02/19/2020