Organization
DERMATOPATHOLOGY LABORATORY OF THE MIDSOUTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES P FIELDS MD (AUTHORIZED OFFICIAL OF ORGANIZATION)
(615) 386-9719
Entity
Organization
Contact information
Practice address
4301 HILLSBORO PIKE, SUITE 222, NASHVILLE, TN 37215-3345
(615) 386-9719
(615) 386-0587
Mailing address
4301 HILLSBORO PIKE, SUITE 222, NASHVILLE, TN 37215-3345
(615) 386-9719
(615) 386-0587
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
207N00000X
TN
291U00000X
Clinical Medical Laboratory
2178
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3401879
—
TN
Enumeration date
12/08/2006
Last updated
08/22/2020
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