Organization
PATHEMA GX LAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER EAVES (MANAGING MEMBER)
(916) 716-7117
Entity
Organization
Contact information
Practice address
250 ED ENGLISH DR STE E, SHENANDOAH, TX 77385-8020
(916) 716-7117
(833) 819-4910
Mailing address
4800 140TH AVE, STE 102, CLEARWATER, FL 33762
(833) 819-4910
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
06/17/2019
Last updated
12/01/2021
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