Organization
LMD PATH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM DOUGLAS CPA (ACCOUNTANT)
(844) 987-2267
Entity
Organization
Contact information
Practice address
1018 S 350 E, PROVO, UT 84606-6152
(844) 987-2267
(844) 266-9834
Mailing address
PO BOX 143, PROVO, UT 84603-0143
(844) 987-2267
(844) 266-9834
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
52983651205
UT
Other
Enumeration date
12/03/2015
Last updated
12/03/2015
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