Organization
PATHOGENDX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MILAN PATEL (CEO)
(202) 664-4711
Entity
Organization
Contact information
Practice address
9375 E SHEA BLVD STE 100, SCOTTSDALE, AZ 85260-6986
(202) 664-4711
Mailing address
9375 E SHEA BLVD STE 100, SCOTTSDALE, AZ 85260-6986
(202) 664-4711
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
02/17/2022
Last updated
02/17/2022
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