Organization
BIOPSY DIAGNOSTICS, LLC
Active
Parent organization
AURORA DIAGNOSTICS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AURORA DIAGNOSTICS, LLC
Authorized official
DINA VALLADARES (DIRECTOR, CREDENTIALING AND PE)
(561) 514-5822
Entity
Organization
Contact information
Practice address
122 RIVERWALK BLVD, SUITE A, RIDGELAND, SC 29936
(843) 379-2939
(843) 379-2949
Mailing address
11025 RCA CENTER DRIVE, SUITE 300, PALM BEACH GARDENS, FL 33410-4269
(561) 626-5512
(561) 626-4530
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
291U00000X
Clinical Medical Laboratory
00024917
AL
291U00000X
Clinical Medical Laboratory
052853
GA
291U00000X
Clinical Medical Laboratory
14814
SC
291U00000X
Clinical Medical Laboratory
33767
NC
291U00000X
Clinical Medical Laboratory
PFI8422
NY
Other
Enumeration date
01/04/2006
Last updated
05/23/2018
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