Organization
PATHOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH BARTON FARRIS MD (PRESIDENT)
(504) 349-1415
Entity
Organization
Contact information
Practice address
1101 MEDICAL CENTER BLVD, MARRERO, LA 70072-3147
(504) 347-5511
Mailing address
PO BOX 54491, NEW ORLEANS, LA 70154-4491
(504) 349-1415
(504) 349-6159
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1444146
—
LA
Enumeration date
07/09/2006
Last updated
12/20/2007
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