Organization
ASSOCIATED LABORATORY PHYSICIANS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMER DOLA M.D. (PRESIDENT)
(262) 389-2027
Entity
Organization
Contact information
Practice address
1 INGALLS DR, PATHOLOGY DEPT., HARVEY, IL 60426-3558
(708) 915-5763
(708) 915-3786
Mailing address
PO BOX 29650, PHOENIX, AZ 85038-9650
(262) 389-2027
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619826
BCBSIL GROUP NUMBER
—
Enumeration date
10/24/2005
Last updated
09/11/2024
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