Organization
BLUE MOUNTAIN PATHOLOGY, PROFESSIOANL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISE M COPE M.D. (PRESIDENT)
(540) 772-3547
Entity
Organization
Contact information
Practice address
1802 BRAEBURN DR, SALEM, VA 24153-7357
(540) 772-3547
Mailing address
PO BOX 2311, CHATSWORTH, CA 91313-2311
(818) 718-9500
(818) 718-9507
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
04/12/2006
Last updated
08/22/2020
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