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Organization

AMI LAB, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAKSHA R SHAH MD (OWNER)
(215) 547-4500
Entity
Organization

Contact information

Practice address
1177 UNIVERSITY DR, YARDLEY, PA 19067-2861
(215) 547-4500
Mailing address
1177 UNIVERSITY DR, YARDLEY, PA 19067-2861
(215) 547-4500

Taxonomy

Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0023019000
IBC
01
129351
HIGHMARK
Enumeration date
07/31/2006
Last updated
10/29/2007
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