Provider Demographics
NPI:1437168879
Name:VALLEY PATHOLOGY, L.L.C.
Entity Type:Organization
Organization Name:VALLEY PATHOLOGY, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PATHOLOGIST/MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:O
Authorized Official - Last Name:DAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:256-351-9470
Mailing Address - Street 1:PO BOX 2086
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35602-2086
Mailing Address - Country:US
Mailing Address - Phone:256-351-9470
Mailing Address - Fax:256-351-9472
Practice Address - Street 1:1221 13TH AVE SE
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35601-4306
Practice Address - Country:US
Practice Address - Phone:256-351-9470
Practice Address - Fax:256-351-9472
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2023-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL12425291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL529801370Medicaid