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Organization
CARROLL PINTO INC
Active
Organization
CARROLL PINTO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL GARLAND M.D. (PRESIDENT)
(757) 562-2684
Entity
Organization
Contact information
Practice address
2800 GODWIN BLVD, SUFFOLK, VA 23434-8038
(757) 562-3715
Mailing address
PO BOX 5468, MARTINSVILLE, VA 24115-5468
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
291U00000X
Clinical Medical Laboratory
CLIA #49D0230995
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
740029
ANTHEM BCBS
VA
05
—
89013GU
—
NC
Enumeration date
08/16/2006
Last updated
07/11/2008
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