Organization
PASCO PATHOLOGY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAO CHENG ONG MD (PRESIDENT)
(727) 841-4687
Entity
Organization
Contact information
Practice address
6600 MADISON STREET, PASCO PATHOLOGY SERVICES INC, NEW PORT RICHEY, FL 34652
(727) 841-4687
(770) 776-5966
Mailing address
PO BOX 100559, FLORENCE, SC 29502-0559
(843) 664-4300
(843) 664-4308
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
10D0297904
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051285100
—
FL
05
—
271717400
—
FL
01
—
74971
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/22/2006
Last updated
06/09/2011
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