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General NPI Number Information
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NPI Number | 1083781090
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Entity Type | Organization
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Legal Business Name | LIVINGSTON PATHOLOGY ASSOCIATES, LLC
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 94 OLD SHORT HILLS RD
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City | LIVINGSTON
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State | NJ
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Zip | 07039-5672
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Country | US
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Telephone | 973-322-5763
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Fax |
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Provider Business Mailing Address
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Address Line | 94 OLD SHORT HILLS RD
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City | LIVINGSTON
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State | NJ
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Zip | 07039-5672
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Country | US
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Telephone | 973-322-5242
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Fax | 973-322-5564
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Authorized Official
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Title or Position | OWNER/AUTHORIZED OFFICIAL
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Name | MICHAEL DARDIK
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Credential | MD
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Telephone | 973-322-5242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number |
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License Number State |
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