Organization
INTEGRATED REGIONAL LABORATORIES PATHOLOGY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JAMAINE DAVIS (CHIEF OPERATING OFFICER)
(561) 402-4256
Entity
Organization
Contact information
Practice address
18810 STATE ROAD 54, LUTZ, FL 33558-5782
(727) 834-4883
(727) 816-2092
Mailing address
PO BOX 741087, ATLANTA, GA 30374-1087
(954) 507-6780
(866) 262-5507
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
04/06/2026
Last updated
04/06/2026
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