Organization
HEALIX RX PATHOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD TAMOL JR. (MANAGING MEMBER)
(704) 661-1500
Entity
Organization
Contact information
Practice address
1620 CENTRAL AVE RM 202, CHEYENNE, WY 82001-4575
(307) 635-8700
Mailing address
1620 CENTRAL AVE RM 202, CHEYENNE, WY 82001-4575
(307) 635-8700
Taxonomy
Speciality
Code
Description
License number
State
207SG0203X
Clinical Molecular Genetics Physician
—
—
207ZC0008X
Clinical Informatics (Pathology) Physician
—
—
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
Primary
—
—
207ZP0101X
Anatomic Pathology Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
Other
Enumeration date
12/08/2021
Last updated
12/08/2021
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