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Organization

ANATOMIC LABORATORY OF THE TRI-STATE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HONGYU YANG MD (PATHOLOGIST)
(812) 437-2737
Entity
Organization

Contact information

Practice address
3700 BELLEMEADE AVE, SUITE 102, EVANSVILLE, IN 47714-0102
(812) 437-2737
Mailing address
PO BOX 3186, EVANSVILLE, IN 47731-3186
(800) 467-2392
(812) 471-6650

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200230070
IN
Enumeration date
03/01/2006
Last updated
09/23/2011
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