# PATHOLOGISTS BIO-MEDICAL LABORATORIES PLLC

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

## Provider details

- **NPI number:** 1407451750
- **Authorized official:** DR. PETER ALLEN DYSERT MD (MANAGING PARTNER)
- **Authorized official phone:** (214) 818-9122

## Contact information

- **Practice address:** 3365 E QUAD PARK CT STE 103, POST FALLS, ID 83854-5905
- **Practice address phone:** (210) 386-0053
- **Mailing address:** 3600 GASTON AVE STE 261, DALLAS, TX 75246-1902
- **Mailing address phone:** (972) 966-7877

## 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:** 12/03/2020
- **Last updated:** 12/03/2020