Organization
SAINT JOSEPH'S HOSPITAL, INC.
Active
Other names
St. Joseph's Hospital Pathology Lab
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL P HINCHEY (PRESIDENT/CEO)
(912) 819-2404
Entity
Organization
Contact information
Practice address
11705 MERCY BLVD, SAVANNAH, GA 31419-1711
(912) 819-2404
(912) 819-2188
Mailing address
5353 REYNOLDS ST, SAVANNAH, GA 31405-6015
(912) 819-5290
(912) 819-5295
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
025009
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00001801A
—
GA
01
—
11D0022060
CLIA ID NUMBER
GA
Enumeration date
06/23/2009
Last updated
07/21/2009
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