Organization
FLORENCE PATHOLOGY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN DOUGLAS WHITE MD (AUTHORIZED OFFICIAL)
(256) 629-1825
Entity
Organization
Contact information
Practice address
1701 VETERANS DR, FLORENCE, AL 35630-4928
(256) 629-1825
Mailing address
PO BOX 1179, FLORENCE, AL 35631-1179
(256) 629-1825
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
00015292
AL
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00878878
—
MS
05
—
04832896
—
MS
05
—
051557652
—
AL
05
—
1369527
—
LA
05
—
4490750
—
TN
05
—
528601070
—
AL
Enumeration date
02/23/2006
Last updated
03/12/2019
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