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Organization

INTEGRATED REGIONAL LABORATORIES PATHOLOGY SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SEAN HABER (VP OF OPERATIONS)
(954) 767-5797
Entity
Organization

Contact information

Practice address
5361 NW 33RD AVE, FORT LAUDERDALE, FL 33309-6313
(954) 777-0018
(866) 262-5507
Mailing address
PO BOX 741087, ATLANTA, GA 30374-1087
(954) 507-6780
(866) 262-5507

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002225601
FL
Enumeration date
04/22/2021
Last updated
04/22/2021
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