Organization
PRIME PATHOLOGY LABORATORY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI TAMSEN MD (PRESIDENT)
(516) 457-1806
Entity
Organization
Contact information
Practice address
196 MEETING HOUSE LN, SOUTHAMPTON, NY 11968-5062
(347) 352-9644
Mailing address
196 MEETING HOUSE LN, SOUTHAMPTON, NY 11968-5062
(516) 457-1806
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
12/20/2019
Last updated
11/30/2025
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