Organization
PATHOLOGISTS BIO-MEDICAL LABORATORIES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER ALLEN DYSERT MD (MANAGING PARTNER)
(214) 818-9122
Entity
Organization
Contact information
Practice address
3365 E QUAD PARK CT STE 103, POST FALLS, ID 83854-5905
(210) 386-0053
Mailing address
3600 GASTON AVE STE 261, DALLAS, TX 75246-1902
(972) 966-7877
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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