# PROFESSIONAL PATHOLOGY SERVICE

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

## Provider details

- **NPI number:** 1376519801
- **Authorized official:** DR. MALISHA JOHNSON MD (PRESIDENT)
- **Authorized official phone:** (606) 408-4029

## Contact information

- **Practice address:** 2201 LEXINGTON AVE, ASHLAND, KY 41101-2843
- **Practice address phone:** (606) 327-4600
- **Mailing address:** 5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
- **Mailing address phone:** (800) 288-8325
- **Mailing address fax:** (419) 866-5453

## 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:** 02/24/2006
- **Last updated:** 06/20/2023