MEDICARE: VALLEY PATHOLOGY, L.L.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZP0105X	Clinical Pathology/Laboratory Medicine Physician
2	291U00000X	Clinical Medical Laboratory	12425	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437168879
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VALLEY PATHOLOGY, L.L.C.

Provider Business Mailing Address
First Line	:	5700 SOUTHWYCK BLVD
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43614-1509
Country	:	US
Telephone Number	:	800-288-8325
Fax Number	:	419-866-5453

Provider Business Practice Location Address
First Line	:	1221 13TH AVE SE
Second Line	:
City	:	DECATUR
State	:	AL
Zip	:	35601-4306
Country	:	US
Telephone Number	:	800-288-8325
Fax Number	:	256-351-9472

Authorized Official
Title or Position	:	PATHOLOGIST/MANAGING PARTNER
Name	:	DR. JAMES O. DAILEY
Credential	:	M.D.
Telephone Number	:	256-351-9470

Provider Enumeration Date	:	08/05/2006
Last Update Date	:	03/18/2025

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