Organization
SOUTHERN DIAGNOSTIC PATHOLOGY PC
Active
Organization
SOUTHERN DIAGNOSTIC PATHOLOGY PC
Active
Other names
Southern Diagnostic Pathology LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JIAN XIE (AUTHORIZED SIGNE)
(626) 350-0537
Entity
Organization
Contact information
Practice address
350 HOSPITAL DR, MACON, GA 31217-3838
(478) 765-4872
(478) 751-7455
Mailing address
1111 S. FREEPORT PKWY, COPPELL, TX 75019-4435
(866) 588-3280
(972) 767-0225
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
08/13/2025
Last updated
07/31/2026
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