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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 HENRY GOLLEHER SR. M.D. (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
03/10/2006
Last updated
12/05/2013
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