Organization
DUCKWORTH LABORATORIES INC.
Active
Parent organization
DUCKWORTH PATHOLOGY GROUP INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
DUCKWORTH PATHOLOGY GROUP INC.
Authorized official
DOROTHY L BLACK CHCO (COMPLIANCE OFFICETR)
(901) 725-7551
Entity
Organization
Contact information
Practice address
1211 UNION AVE, SUITE 300, MEMPHIS, TN 38104-6638
(901) 725-7551
(901) 725-9721
Mailing address
1211 UNION AVE, SUITE 300, MEMPHIS, TN 38104-6638
(901) 725-7551
(901) 725-9721
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
3282
TN
Other
Enumeration date
01/03/2013
Last updated
01/18/2013
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