Organization
SURGICAL PATHOLOGY CONSULTANTS, INC.
Active
Organization
SURGICAL PATHOLOGY CONSULTANTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHIL SAMPAIO (OFFICE MANAGER)
(602) 547-1024
Entity
Organization
Contact information
Practice address
5422 W THUNDERBIRD RD, #13, GLENDALE, AZ 85306-4700
(602) 547-1024
(623) 606-2458
Mailing address
5422 W THUNDERBIRD RD, #13, GLENDALE, AZ 85306-4700
(602) 547-1024
(623) 606-2458
Taxonomy
Speciality
Code
Description
License number
State
246QH0600X
Histology Specialist/Technologist
Primary
10975
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z3D0877316
PTAN
AZ
Enumeration date
12/06/2006
Last updated
05/06/2010
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