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Organization

WISE PATHOLOGY LABORATORIES LLC

Active
Other names
Wise Pathology Laboratories
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LILY WU (OFFICE MANAGER)
(940) 539-8544
Entity
Organization

Contact information

Practice address
609 MEDICAL CENTER DR STE 2300, DECATUR, TX 76234-3802
(940) 539-8544
(940) 263-3116
Mailing address
PO BOX 421479, HOUSTON, TX 77242-1479
(817) 637-2114

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
05/02/2022
Last updated
08/26/2022
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