Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Histology |
246QH0600X |
| NPI # | 1548270648 |
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| LBN Legal business name | HISTO PATH OF AMERICA INC | ||||
| Authorized official | CAROLYN DURKOWSKI - (PRESIDENT OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 08/09/2006 | ||||
| Last updated | 08/22/2020 - About 6 years ago | ||||
| Identifiers |
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