Pathology Associates Of Tyler Pa in Tyler - Clinical Medical Laboratory

Pathology Associates Of Tyler Pa - NPI 1770521403

Pathology Associates Of Tyler Pa is a Clinical Medical Laboratory in Tyler, Texas. Pathology Associates Of Tyler Pa practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for Pathology Associates Of Tyler Pa is 1770521403. The last update date is 2022-07-18.

Pathology Associates Of Tyler Pa's current location address is 1726 S Beckham Ave, Tyler, Texas. You can contact this provider via phone number 9035930481 and fax number 9035920555. The mailing address for Pathology Associates Of Tyler Pa is 1726 S Beckham Ave, Tyler, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Pathology Associates Of Tyler Pa
Address 1726 S Beckham Ave, Tyler, Texas
Phone Number 9035930481
Fax Number 9035920555
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Kulaga Andrew
Credentials M.D.
Telephone Number 9035930481

NPI Number Detail

NPI Number 1770521403
Provider Enumeration Date 2006-06-03
Last Updated Date 2022-07-18

Provider Mailing Address Detail

Address 1726 S Beckham Ave
City Tyler
State Texas (TX)
Post Code 757014465
Phone Number 9035930481
Fax Number 9035920555

Provider's Primary Taxonomy Detail

Speciality Clinical Medical Laboratory
Taxonomy 291U00000X
Definition:
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purp

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
110790601 TX --
110790603 TX --
690039090 TX RAILROAD MC
CL8037 TX BLUE CROSS BLUE SHIELD

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FAQs about Pathology Associates Of Tyler Pa

What is the unique provider identifier assigned to Pathology Associates Of Tyler Pa?

The Pathology Associates Of Tyler Pa has been issued the NPI (National Provider Identifier) 1770521403 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Pathology Associates Of Tyler Pa's facilities are situated?

The facilities of Pathology Associates Of Tyler Pa are physically located at the following address: 1726 S Beckham Ave, Tyler, TX, 757014465.

What is Pathology Associates Of Tyler Pa's area of expertise and its corresponding taxonomy classification?

The Pathology Associates Of Tyler Pa's field of specialization is Clinical Medical Laboratory, and it falls under the taxonomy code 291U00000X, which categorizes healthcare providers based on their areas of practice.

When was the Pathology Associates Of Tyler Pa's 1770521403 issued?

The Pathology Associates Of Tyler Pa's 1770521403 was issued on 2006-06-03.

When was the information pertaining to Pathology Associates Of Tyler Pa most recently updated or revised?

The details related to Pathology Associates Of Tyler Pa, including its address, specialty, and other relevant information, were last updated or revised on 2022-07-18.

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