Histopath Lab, Pa- Genomics

NPI #1518392653 in Lecanto, Florida

Provider Information

NPI Number
1518392653
Entity Type
Organization
Organization Name
Histopath Lab, Pa- Genomics
Subpart
Yes (part of a larger organization)
Parent Organization
HISTOPATH LAB, P.A.
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Sep 9, 2013
Last Updated
Aug 4, 2014

Practice Location

Address
2671 W NORVELL BRYANT HWY
State
Florida
ZIP Code
34461-9440
Phone
(352) 527-1344

Authorized Official

Name
MRS. PATRICIA WARE ALEXANDER
Title
VICE PRESIDENT
Phone
(352) 527-1344

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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