# INTEGRATED REGIONAL LABORATORIES PATHOLOGY SERVICES, LLC

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

## Provider details

- **NPI number:** 1700452240
- **Authorized official:** JOHN RODKEY (OWNER/VP OF OPERATIONS)
- **Authorized official phone:** (850) 523-2117

## Contact information

- **Practice address:** 35750 US HIGHWAY 19 N, PALM HARBOR, FL 34684-1703
- **Practice address phone:** (727) 834-4883
- **Mailing address:** PO BOX 741087, ATLANTA, GA 30374-1087

## 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:** 06/03/2021
- **Last updated:** 06/03/2021