Organization
PINKUS DERMATOPATHOLOGY LABORATORY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DINA VALLADARES (DIRECTOR)
(561) 514-5822
Entity
Organization
Contact information
Practice address
1314 N MACOMB ST, MONROE, MI 48162-3131
(734) 242-6872
(734) 242-4962
Mailing address
1355 RIVER BEND DR, DALLAS, TX 75247-4915
(734) 242-6872
(734) 242-4962
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017853
—
MI
Enumeration date
11/23/2005
Last updated
02/01/2024
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