Provider Demographics
NPI:1629121942
Name:INTEGRATED PATHOLOGY SERVICES, PLLC
Entity Type:Organization
Organization Name:INTEGRATED PATHOLOGY SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:
Authorized Official - Last Name:SITELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:623-889-0100
Mailing Address - Street 1:PO BOX 14690
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85063
Mailing Address - Country:US
Mailing Address - Phone:623-889-0100
Mailing Address - Fax:623-889-0101
Practice Address - Street 1:9150 W INDIAN SCHOOL RD
Practice Address - Street 2:BLDG 6 SUITE 122
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85037
Practice Address - Country:US
Practice Address - Phone:623-889-0100
Practice Address - Fax:623-889-0101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2022-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory