Organization
PATHOLOGY & IMAGING CONSULTANTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN C SMITH II M.D. (DIRECTOR)
(701) 857-5436
Entity
Organization
Contact information
Practice address
1410 3RD AVE SW, MINOT, ND 58701-3658
(701) 857-5436
Mailing address
1410 3RD AVE SW, MINOT, ND 58701-3658
(701) 857-5436
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
3135
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14414
—
ND
Enumeration date
01/03/2007
Last updated
04/23/2008
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