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CLINICAL PATHOLOGY LABORATORY, LLC

Physicians Pathology Anatomic Pathology & Clinical Pathology

Provider NPI: 1346299732

Organization Information:
Organization Name:  CLINICAL PATHOLOGY LABORATORY, LLC
Organization is not Subpart
Authorized Official:  MICHAEL BARRY ANREDER  PHYSICIAN /OWNER  870-862-1351

Practice Location:
208 THOMPSON AVE  EL DORADO, AR 71730-5756 US
Tel: 870-862-1351  Fax: 870-862-2815

Business Mailing Address:
208 THOMPSON AVE  EL DORADO, AR 71730-5756 US
Tel: 870-862-1351  Fax: 870-862-2815

NPI Information:
NPI: 1346299732
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207ZP0102XPhysicians
Pathology
Anatomic Pathology & Clinical Pathology
Y207ZC0500XPhysicians
Pathology

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 207ZC0500X

Type:

Classification:



Definition:



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