Organization
ASSOCIATED PATHOLOGISTS LABORATORY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY P ANZALONE MD (PRESIDENT/OWNER)
(870) 862-8046
Entity
Organization
Contact information
Practice address
208 THOMPSON AVE, EL DORADO, AR 71730-5756
(870) 862-1351
(870) 862-2815
Mailing address
208 THOMPSON AVE, EL DORADO, AR 71730-5756
(870) 862-1351
(870) 862-2815
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106086709
—
AR
05
—
140128002
—
AR
Enumeration date
05/10/2006
Last updated
06/13/2008
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