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Organization
LAB OF PATH, PA
Active
Organization
LAB OF PATH, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES H GOLLEHER SR. MD (MEDICAL DIRECTOR)
(501) 268-8175
Entity
Organization
Contact information
Practice address
1915 W BEEBE CAPPS EXPY, SEARCY, AR 72143-5012
(501) 268-8175
(501) 268-8337
Mailing address
1915 W BEEBE CAPPS EXPY, SEARCY, AR 72143-5012
(501) 268-8175
(501) 268-8337
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MC0253
AR
291U00000X
Clinical Medical Laboratory
MC0253
AR
Other
Enumeration date
04/23/2007
Last updated
12/05/2013
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