Organization
PATHOLOGY LABORATORY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK E SHERTZER MD (PRESIDENT)
(334) 671-1696
Entity
Organization
Contact information
Practice address
1108 ROSS CLARK CIR, DOTHAN, AL 36301-3022
(334) 671-1696
(334) 794-0721
Mailing address
2015 ALEXANDER DR, DOTHAN, AL 36301-3003
(334) 671-1696
(334) 794-0721
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528402240
—
AL
Enumeration date
02/01/2006
Last updated
07/21/2022
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