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Organization
PATHOLOGY LABORATORY ASSOCIATES, INC.
Active
Organization
PATHOLOGY LABORATORY ASSOCIATES, INC.
Active
Parent organization
SYNERGY LABORATORIES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
SYNERGY LABORATORIES, INC.
Authorized official
PATSY L BRADLEY (BILLING DIRECTOR)
(251) 342-0030
Entity
Organization
Contact information
Practice address
3719 DAUPHIN ST, MOBILE, AL 36608-1753
(251) 342-0030
(205) 449-3395
Mailing address
PO BOX 160105, MOBILE, AL 36616-1105
(251) 342-0030
(205) 449-3395
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528501350
—
AL
01
—
CD4053
RAILROAD MEDICARE
AL
01
—
D813
MEDICARE PAYOR NUMBER
AL
Enumeration date
04/17/2007
Last updated
12/22/2023
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