# ALEXANDRIA PATHOLOGY LABORATORY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ROBERTS, PILLARISETTI & MANLAPAZ
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902887995
- **Authorized official:** DR. SUDHA G PILLARISETTI M.D. (OWNER/PARTNER)
- **Authorized official phone:** (318) 443-0941

## Contact information

- **Practice address:** 3330 MASONIC DR, LABORATORY, ALEXANDRIA, LA 71301-3841
- **Practice address phone:** (318) 443-0941
- **Practice address fax:** (318) 443-5734
- **Mailing address:** PO BOX 12116, 3510 PARLIAMENT CT., ALEXANDRIA, LA 71315-2116
- **Mailing address phone:** (318) 443-0941
- **Mailing address fax:** (318) 443-5734

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | Yes |
| 291U00000X | Clinical Medical Laboratory | — | LA | — |

## Other

- **Enumeration date:** 11/08/2005
- **Last updated:** 02/10/2010
