Organization
I PATHOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUNEAR ASHTON KOUZBARI (PRESIDENT)
(214) 682-8536
Entity
Organization
Contact information
Practice address
6850 NEW TAMPA HWY STE 500, LAKELAND, FL 33815-3168
(863) 606-6655
(863) 583-9584
Mailing address
6850 NEW TAMPA HWY STE 500, LAKELAND, FL 33815-3168
(863) 606-6655
(863) 583-9584
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000135500
—
FL
Enumeration date
03/27/2008
Last updated
11/10/2023
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