Organization
INTEGRATED REGIONAL LABORATORIES PATHOLOGY SERVICES, LLC
Active
Parent organization
INTEGRATED REGIONAL LABORATORIES PATHOLOGY SERVICES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTEGRATED REGIONAL LABORATORIES PATHOLOGY SERVICES, LLC
Authorized official
MICHAEL J DAVIS (COO)
(561) 402-4256
Entity
Organization
Contact information
Practice address
5301 S CONGRESS AVE, ATLANTIS, FL 33462-1149
(954) 507-6780
(866) 262-5507
Mailing address
PO BOX 741087, ATLANTA, GA 30374-1087
(954) 507-6780
(866) 262-5507
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
07/28/2023
Last updated
07/28/2023
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