Provider Demographics
NPI:1043369606
Name:AUSTIN, DONALD LARUE (PATHOLOGIST ASST)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:LARUE
Last Name:AUSTIN
Suffix:
Gender:M
Credentials:PATHOLOGIST ASST
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Other - Credentials:
Mailing Address - Street 1:2385 PASSAGE KEY TRL
Mailing Address - Street 2:
Mailing Address - City:XENIA
Mailing Address - State:OH
Mailing Address - Zip Code:45385-9204
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:160 WYOMING ST
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45409-2740
Practice Address - Country:US
Practice Address - Phone:614-457-8180
Practice Address - Fax:614-583-3300
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Q00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Pathology