Organization
GLOBAL PATHOLOGY LABORATORY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW J HANLY MD (MEDICAL DIRECTOR)
(305) 825-4422
Entity
Organization
Contact information
Practice address
16250 NW 59TH AVE, #201, MIAMI LAKES, FL 33014-7542
(305) 825-4422
Mailing address
16250 NW 59TH AVE, #201, MIAMI LAKES, FL 33014-7542
(305) 825-4422
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220030013
RAILROAD MEDICARE
FL
01
—
CH5809
RAILROAD MEDICARE
FL
Enumeration date
02/01/2006
Last updated
05/17/2010
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