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Organization
PROFESSIONAL PATHOLOGY SERVICES, PC
Active
Organization
PROFESSIONAL PATHOLOGY SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY J MARCUS MD (PRESIDENT)
(866) 252-1913
Entity
Organization
Contact information
Practice address
1 SCIENCE CT, SUITE 200, COLUMBIA, SC 29203-9344
(803) 252-1913
(803) 252-2330
Mailing address
1 SCIENCE CT STE 200, COLUMBIA, SC 29203-9653
(866) 252-1913
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
—
—
207ZC0500X
Cytopathology Physician
—
—
207ZD0900X
Dermatopathology (Pathology) Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7001187
—
NC
05
—
GP3481
—
SC
Enumeration date
01/25/2006
Last updated
07/07/2023
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