Organization
SOUTHWEST DIAGNOSTIC LABORATORIES PC
Active
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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