Organization
PATHWAY DIAGNOSTICS LLC
Active
Organization
PATHWAY DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMIYA MUSTAFA (OWNER)
(770) 557-2323
Entity
Organization
Contact information
Practice address
100 STREET A STE E, PICAYUNE, MS 39466-5459
(504) 882-9123
Mailing address
100 STREET A STE E, PICAYUNE, MS 39466-5459
(504) 882-9123
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
MS
Other
Enumeration date
03/03/2016
Last updated
09/19/2019
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