Organization
INTEGRATED REGIONAL LABORATORIES PATHOLOGY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN RODKEY (OWNER/VP OF OPERATIONS)
(850) 523-2117
Entity
Organization
Contact information
Practice address
2190 HIGHWAY 85 N, NICEVILLE, FL 32578-1045
(850) 863-7567
Mailing address
PO BOX 741087, ATLANTA, GA 30374-1087
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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