Organization
LAKEWOOD PATHOLOGY ASSOCIATES, INC.
Active
Other names
Inform Diagnostics
Organization subpart
No
Provider details
NPI number
Authorized official
BONNIE SUE PIRTZ (VP MANAGED CARE)
(480) 309-2674
Entity
Organization
Contact information
Practice address
825 RAHWAY AVE, UNION, NJ 07083-6633
(732) 901-7575
Mailing address
6655 NORTH MACARTHUR BOULEVARD, ATTN: MANAGED CARE DEPARTMENT, IRVING, TX 75039-2443
(214) 596-7031
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
0002824
NJ
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
07/23/2006
Last updated
05/01/2018
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