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PATHOLOGISTS DIAGNOSTIC LABORATORY PA NPI 1003883877


NPI Information

NPI: 1003883877
Provider Name: PATHOLOGISTS DIAGNOSTIC LABORATORY PA

Former Legal Business Name: ATLANTIC PATHOLOGY SERVICES PA

Classification: Pathology - 207ZP0102X
Entity Type: Organization

Specialization: Anatomic Pathology & Clinical Pathology

CLIA Number: 34D1059373

Address:
630 BROOKWOOD BUSINESS PARK DR
WINSTON SALEM, NC
ZIP 27105
Phone: (336) 999-8888
Get Directions

PATHOLOGISTS DIAGNOSTIC LABORATORY PA is an anatomic pathology and clinical pathology pathology in Winston Salem, NC. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. PATHOLOGISTS DIAGNOSTIC LABORATORY PA NPI is 1003883877. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Atlantic Pathology Services Pa.

The provider's business location address is:

630 BROOKWOOD BUSINESS PARK DR
WINSTON SALEM, NC
ZIP 27105-478
Phone: (336) 999-8888
Fax: (336) 999-8889

The provider's authorized official is Cullen A. Taylor .
The authorized official title is President and has the following contact phone number (336) 306-5777.

The CLIA number assigned to this NPI record is 34D1059373 - independent with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/1/2006 and was last updated on 8/10/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ZD0900XPathologyDermatopathology9300150NORTH CAROLINANo
2207ZH0000XPathologyHematology22509NORTH CAROLINANo
3207ZP0102XPathologyAnatomic Pathology & Clinical Pathology22288NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1014HEOTHERNORTH CAROLINABCBS
2L00213MEDICAIDSOUTH CAROLINA
3010345456MEDICAIDVIRGINIA
47001277MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.