Organization
UNITED PATHOLOGY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANICE LYNN FIELDS (BUSINESS MANAGER)
(520) 459-1984
Entity
Organization
Contact information
Practice address
75 COLONIA DE SALUD, SUITE 200D, SIERRA VISTA, AZ 85635-2487
(520) 459-1984
(520) 452-1011
Mailing address
75 COLONIA DE SALUD, SUITE 200D, SIERRA VISTA, AZ 85635-2487
(520) 459-1984
(520) 452-1011
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220004044
RAILROAD MEDICARE PIN
AZ
Enumeration date
01/18/2007
Last updated
06/19/2008
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