Provider Demographics
NPI:1053633479
Name:VILLAGE OAKS PATHOLOGY SERVICES, P.A.
Entity Type:Organization
Organization Name:VILLAGE OAKS PATHOLOGY SERVICES, P.A.
Other - Org Name:PRECISION LABORATORIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBY
Authorized Official - Middle Name:P
Authorized Official - Last Name:JOYCE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-646-0890
Mailing Address - Street 1:7418 JOHN SMITH
Mailing Address - Street 2:SUITE 218
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-6020
Mailing Address - Country:US
Mailing Address - Phone:210-614-0959
Mailing Address - Fax:210-614-7522
Practice Address - Street 1:12315 JUDSON RD
Practice Address - Street 2:SUITE 318
Practice Address - City:LIVE OAK
Practice Address - State:TX
Practice Address - Zip Code:78233-3277
Practice Address - Country:US
Practice Address - Phone:210-646-0890
Practice Address - Fax:210-646-9191
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VILLAGE OAKS PATHOLOGY SERVICES, P.A.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-02-26
Last Update Date:2010-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory