Organization
LEE PATHOLOGY LABORATORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL P JOHNSON (PATHOLOGIST/OWNER)
(334) 749-8234
Entity
Organization
Contact information
Practice address
503 E THOMASON CIR, OPELIKA, AL 36801-5431
(334) 749-8234
(334) 749-9353
Mailing address
503 E THOMASON CIR, OPELIKA, AL 36801-5431
(334) 749-8234
(334) 749-9353
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
12339
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000053518
GROUP
AL
05
—
000053518
—
AL
Enumeration date
07/07/2006
Last updated
07/26/2007
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