Organization
PATHOLOGY MEDICAL LABORATORIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN MARY RENDON MD (PRESIDENT PATHOLOGY MEDICAL LABERAT)
(352) 787-6733
Entity
Organization
Contact information
Practice address
913 B NORTH BLVD E, LEESBURG, FL 34748-5364
(352) 787-6733
(352) 787-9228
Mailing address
913 B NORTH BLVD E, LEESBURG, FL 34748-5364
(352) 787-6733
(352) 787-9228
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/18/2006
Last updated
09/04/2007
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