Provider Demographics
NPI:1619039708
Name:LAREDO CLINICAL PATHOLOGY SERVICES PA
Entity Type:Organization
Organization Name:LAREDO CLINICAL PATHOLOGY SERVICES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AUGUSTO
Authorized Official - Middle Name:G
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:956-712-1215
Mailing Address - Street 1:LOCK BOX 2369
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78044
Mailing Address - Country:US
Mailing Address - Phone:956-712-1215
Mailing Address - Fax:956-712-1685
Practice Address - Street 1:1700 EAST SAUNDERS AVENUE
Practice Address - Street 2:DEPARTMENT OF PATHOLOGY
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041
Practice Address - Country:US
Practice Address - Phone:956-712-1215
Practice Address - Fax:956-712-1685
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic PathologyGroup - Single Specialty