NPI 1679504351

Diagnostic Pathology Associates PA

Organisation Clinical Medical Laboratory Leesburg, FL

Practice location

Address: 1456 Williams St, Leesburg, FL 34748-3824
Phone: (352) 787-1778
Mailing address: 5755 Hoover Blvd, Tampa, FL 33634-5340

Authorised official

Name: Clifton L. Bridges
Title: Pathologist Vice President
Phone: (352) 787-1778

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X

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Registry record

NPI: 1679504351
Entity type: Organization
NPI issued: 5 Jul 2006
Record last updated: 27 Mar 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.