Provider Demographics
NPI:1427489251
Name:DGL PATHOLOGY SERVICE CORPORATION
Entity type:Organization
Organization Name:DGL PATHOLOGY SERVICE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DADHIJA
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:614-323-1326
Mailing Address - Street 1:9243 S ROBERTS RD
Mailing Address - Street 2:
Mailing Address - City:HICKORY HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60457-2079
Mailing Address - Country:US
Mailing Address - Phone:708-599-5666
Mailing Address - Fax:708-599-8737
Practice Address - Street 1:9243 S ROBERTS RD
Practice Address - Street 2:
Practice Address - City:HICKORY HILLS
Practice Address - State:IL
Practice Address - Zip Code:60457-2079
Practice Address - Country:US
Practice Address - Phone:708-599-5666
Practice Address - Fax:708-599-8737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-04
Last Update Date:2013-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory