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Organization
VALLEY PATHOLOGISTS, INC.
Active
Organization
VALLEY PATHOLOGISTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA R. BALAJ MD (PARTNER)
(937) 224-9326
Entity
Organization
Contact information
Practice address
1 WYOMING STREET, MIAMI VALLEY HOSPITAL PATHOLOGY DEPT, DAYTON, OH 45409-2722
(937) 208-2978
(937) 208-6137
Mailing address
160 WYOMING STREET, DAYTON, OH 45409-2740
(937) 224-9326
(937) 224-1010
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0572330
—
OH
01
—
CI0037
RR MEDICARE
OH
Enumeration date
08/25/2005
Last updated
02/13/2013
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