# PATHOLOGY SERVICES ALLIANCE LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LEESBURG REGIONAL MEDICAL CENTER, INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1306079447
- **Legal business name:** LEESBURG REGIONAL MEDICAL CENTER, INC.
- **Authorized official:** MRS. DIANE HARDEN (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (352) 323-5002

## Contact information

- **Practice address:** 732 N 3RD ST, LEESBURG, FL 34748-4442
- **Practice address phone:** (352) 787-1778
- **Practice address fax:** (352) 787-1164
- **Mailing address:** 1456 WILLIAM ST, ATTN: LORETTA ROSENBALM, LEESBURG, FL 34748-3824
- **Mailing address phone:** (352) 787-1778
- **Mailing address fax:** (352) 787-1164

## 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:** 08/24/2009
- **Last updated:** 12/07/2020