Organization
UNIVERSITY PATHOLOGISTS LABORATORIES, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY THREATTE MD (PRESIDENT)
(315) 464-6751
Entity
Organization
Contact information
Practice address
550 HARRISON ST, SUITE 220, SYRACUSE, NY 13202-3096
(315) 464-6751
(315) 464-6749
Mailing address
250 HARRISON ST, SUITE 502, SYRACUSE, NY 13202-3065
(315) 464-6751
(315) 464-6749
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
PFI3697
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01018973
—
NY
Enumeration date
07/21/2006
Last updated
08/22/2020
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