Organization
OHIO PATHOLOGY LABORATORIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONARD KEITH PLOCKI MD (PRESIDENT)
(740) 393-9770
Entity
Organization
Contact information
Practice address
1330 COSHOCTON ROAD, MOUNT VERNON, OH 43050
(740) 393-9770
(740) 399-3134
Mailing address
PO BOX 1002, MOUNT VERNON, OH 43050
(740) 393-3455
(740) 399-3134
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35059747
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0785646
—
OH
Enumeration date
04/18/2007
Last updated
03/12/2008
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