Organization
ACCUPATH DIAGNOSTIC LABORATORIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY T WILLIAMS (VICE PRESIDENT)
(336) 222-7566
Entity
Organization
Contact information
Practice address
5706 W LYDIA LN, LAVEEN, AZ 85339-4209
(480) 272-5489
Mailing address
PO BOX 2240, BURLINGTON, NC 27216-2240
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03D2288300
CLIA
—
Enumeration date
10/17/2023
Last updated
10/17/2023
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