Organization
PATHOLOGY LABORATORY ASSOCIATES, INC.
Active
Parent organization
SYNERGY LABORATORIES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
SYNERGY LABORATORIES, INC.
Authorized official
PATSY L BRADLEY (BILLING DIRECTOR)
(251) 342-0030
Entity
Organization
Contact information
Practice address
3719 DAUPHIN ST, MOBILE, AL 36608-1753
(251) 342-0030
(205) 449-3395
Mailing address
PO BOX 160105, MOBILE, AL 36616-1105
(251) 342-0030
(205) 449-3395
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528501350
—
AL
01
—
CD4053
RAILROAD MEDICARE
AL
01
—
D813
MEDICARE PAYOR NUMBER
AL
Enumeration date
04/17/2007
Last updated
12/22/2023
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