Graduated: 1994
NPI: 1184800666
Practice Locations (2)
INTEGRATED REGIONAL LABORATORIES PATHOLOGY SERVICES, LLC
13001 SOUTHERN BLVD
LOXAHATCHEE, FL 334709203
5617986036
VIDANT MEDICAL GROUP LLC
2100 STANTONSBURG RD
GREENVILLE, NC 278342818
2528471757
Source: CMS National Downloadable File, September 2026.