# INTEGRATED REGIONAL LABORATORIES PATHOLOGY SERVICES, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1972249431
- **Authorized official:** MICHAEL JAMAINE DAVIS (CHIEF OPERATIONS OFFICER)
- **Authorized official phone:** (561) 402-4256

## Contact information

- **Practice address:** 322 SW PINE ISLAND RD, CAPE CORAL, FL 33991-2057
- **Practice address phone:** (941) 627-6128
- **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:** 05/09/2022
- **Last updated:** 05/09/2022