Organization
INTEGRATED REGIONAL LABORATORIES PATHOLOGY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT FAILE (VP OF OPERATIONS)
(843) 856-7923
Entity
Organization
Contact information
Practice address
10910 SAN JOSE BLVD, JACKSONVILLE, FL 32223-6615
(904) 702-1330
Mailing address
PO BOX 741087, ATLANTA, GA 30374-1087
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
06/03/2021
Last updated
06/03/2021
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