Organization
SOUTHERN PATHOLOGY A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAMELA M BARTHOLOMEW M.D. (PRESIDENT)
(985) 898-2754
Entity
Organization
Contact information
Practice address
67241 INDUSTRY LN, COVINGTON, LA 70433-8705
(985) 898-2754
(985) 898-2624
Mailing address
67241 INDUSTRY LN, COVINGTON, LA 70433-8705
(985) 898-2754
(985) 898-2624
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
LA
Other
Enumeration date
08/05/2011
Last updated
09/16/2011
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