Organization
PATHONE DIAGNOSTICS, LLC
Active
Organization
PATHONE DIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN L DITTY CT(ASCP) (CYTOLOGY SUPERVISOR)
(651) 264-9090
Entity
Organization
Contact information
Practice address
471 HAYWARD AVE N, OAKDALE, MN 55128-5374
(651) 264-9090
(651) 735-9170
Mailing address
471 HAYWARD AVE N, OAKDALE, MN 55128-5374
(651) 264-9090
(651) 735-9170
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
1694
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36202800
—
WI
Enumeration date
12/14/2006
Last updated
08/22/2020
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