Organization
VILLAGES PATHOLOGY LABORATORY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LALBAHADUR NAGABHAIRU M.D. (OWNER)
(352) 307-0264
Entity
Organization
Contact information
Practice address
10900 SE 174TH PLACE RD, SUITE C, SUMMERFIELD, FL 34491-8984
(352) 307-0264
Mailing address
10900 SE 174TH PLACE RD, SUITE C, SUMMERFIELD, FL 34491-8984
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
10D1080337
FL
Other
Enumeration date
06/12/2008
Last updated
09/06/2008
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