Organization
LAB DIRECT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES RICHARD OGBURN JR. MD (PATHOLOGIST)
(903) 675-0080
Entity
Organization
Contact information
Practice address
134 ROSEDALE, ATHENS, TX 75751-3625
(903) 675-0080
(903) 675-0081
Mailing address
134 ROSEDALE, ATHENS, TX 75751-3625
(903) 675-0080
(903) 675-0081
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
J2242
TX
Other
Enumeration date
12/06/2011
Last updated
12/06/2011
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