Organization
HEALTHONE IRL PATHOLOGY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J DAVIS COO (AUTHORIZED OFFICIAL)
(561) 402-4256
Entity
Organization
Contact information
Practice address
501 E HAMPDEN AVE, ENGLEWOOD, CO 80113-2702
(954) 717-0275
Mailing address
PO BOX 744326, ATLANTA, GA 30374-4326
(561) 402-4256
(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
—
9000152753
—
CO
Enumeration date
08/18/2017
Last updated
09/23/2025
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