Department of Pathology, Immunology and Laboratory Medicine

NPI #1194018770 in Gainesville, Florida

Provider Information

NPI Number
1194018770
Entity Type
Organization
Organization Name
Department of Pathology, Immunology and Laboratory Medicine
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
May 16, 2011
Last Updated
May 16, 2011

Practice Location

Address
1329 SW 16TH ST
Address 2
ROOM 4230
State
Florida
ZIP Code
32608-1128
Phone
(352) 265-0680

Authorized Official

Name
DR. MICHAEL MAHLA, M.D.
Title
ASSOCIATE DEAN OF GM
Phone
(352) 273-8909

Specialties & Taxonomy Codes

Specialty
Clinic/Center
General Acute Care Hospital
Clinical Medical Laboratory

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