Organization Name: | PATHLOGIXS, INC. |
NPI Number: | 1154428332 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AUDREY SUE PAGAN (PRESIDENT) |
Mailing Address: | 46 Jackson Dr Cranford |
State: | NJ US |
Postal Code: | 070163504 |
Phone Number: | 7322410005 |
Fax Number: | 7328215145 |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246QH0600X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Spec/Tech, Pathology |
Taxonomy Specialization: | Histology |
Taxonomy Definition: |