Integrated Regional Laboratories Pathology Services, LLC

NPI #1154997609 in St Johns, Florida

Provider Information

NPI Number: 1154997609
Entity Type: Organization
Organization Name: Integrated Regional Laboratories Pathology Services, LLC
Primary Specialty: Pathology - Anatomic Pathology & Clinical Pathology
Enumeration Date: Jun 3, 2021
Last Updated: Jun 3, 2021

Practice Location

Address: 42 DOCTORS VILLAGE DR
City: St Johns
State: Florida
ZIP Code: 32259-2245
Phone: (904) 702-1330

Authorized Official

Name: ROBERT FAILE
Title: VP OF OPERATIONS
Phone: (843) 856-7923

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pathology - Anatomic Pathology & Clinical Pathology — Anatomic Pathology & Clinical Pathology	207ZP0102X	Primary

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