Organization
PATHWORKS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC LEDFORD (CHEIF EXECTIVE OFFICER)
(937) 247-5808
Entity
Organization
Contact information
Practice address
8379 BYERS RD, MIAMISBURG, OH 45342
(937) 247-5808
(937) 247-5809
Mailing address
8379 BYERS RD, MIAMISBURG, OH 45342-3721
(937) 247-5808
(937) 247-5809
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
—
OH
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730249350
NPI
OH
Enumeration date
12/12/2006
Last updated
07/21/2022
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