Organization
PATHOGENYX CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMIL BERSUNKAEV (OWNER)
(786) 713-0198
Entity
Organization
Contact information
Practice address
12855 SW 132ND ST STE 207, MIAMI, FL 33186-7221
(786) 713-0198
Mailing address
12855 SW 132ND ST STE 207, MIAMI, FL 33186-7221
(786) 713-0198
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
11/26/2025
Last updated
12/11/2025
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