Organization
CLINICAL PATHOLOGY LABORATORY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL BARRY ANREDER M.D. (PHYSICIAN /OWNER)
(870) 862-1351
Entity
Organization
Contact information
Practice address
208 THOMPSON AVE, EL DORADO, AR 71730-5756
(870) 862-1351
(870) 862-2815
Mailing address
208 THOMPSON AVE, EL DORADO, AR 71730-5756
(870) 862-1351
(870) 862-2815
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
Primary
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
Other
Enumeration date
05/10/2006
Last updated
10/15/2007
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