# INTEGRATED REGIONAL LABORATORIES PATHOLOGY SERVICES, LLC

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

## Provider details

- **NPI number:** 1891544938
- **Authorized official:** MICHAEL JAMAINE DAVIS (COO)
- **Authorized official phone:** (561) 402-4256

## Contact information

- **Practice address:** 1434 N ALAFAYA TRL, ORLANDO, FL 32828-6080
- **Practice address phone:** (407) 890-2179
- **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:** 05/13/2024
- **Last updated:** 05/13/2024