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Organization

SOUTHWEST DIAGNOSTIC LABORATORIES PC

Active
Parent organization
AMERIPATH INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
AMERIPATH INC
Authorized official
DR. EDWARD M KRAMER MD (VICE PRESIDENT)
(610) 550-3000
Entity
Organization

Contact information

Practice address
1010 THREE SPRINGS BLVD, DURANGO, CO 81301-8296
(970) 764-1170
Mailing address
14275 MIDWAY RD, SUITE 400, ADDISON, TX 75001-3614
(214) 932-8029
(610) 271-4245

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
09/04/2009
Last updated
04/24/2015
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