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General NPI Number Information
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NPI Number | 1154428332
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Entity Type | Organization
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Legal Business Name | PATHLOGIXS, INC.
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 46 JACKSON DR
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City | CRANFORD
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State | NJ
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Zip | 07016-3504
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Country | US
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Telephone | 732-241-0005
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Fax | 732-821-5145
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Provider Business Mailing Address
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Address Line | 20 VILLAGE DR
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City | MATAWAN
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State | NJ
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Zip | 07747-3576
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Country | US
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Telephone | 732-241-0005
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Fax | 732-821-5145
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. AUDREY SUE PAGAN
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Credential | M.A., HTL(ASCP)
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Telephone | 732-241-0005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246QH0600X
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Taxonomy Name | Histology Specialist/Technologist
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License Number |
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License Number State |
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