Organization
PROMEDICA PATHOLOGY LABORATORIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES A MUSIAL (PRESIDENT)
(512) 439-1600
Entity
Organization
Contact information
Practice address
2130 W CENTRAL AVE STE 300, TOLEDO, OH 43606-3819
(419) 291-4134
(419) 534-2562
Mailing address
12357 RIATA TRACE PKWY STE A210, AUSTIN, TX 78727-7168
(512) 439-1600
(512) 795-5069
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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