Organization
COMMUNITY PATHOLOGY LABORATORY LLC
Active
Other names
Cookeville Pathology Lab
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL THOMAS HALL (OFFICE MGR)
(931) 528-2836
Entity
Organization
Contact information
Practice address
115 N PEACHTREE AVE, COOKEVILLE, TN 38501-2546
(931) 528-2836
(931) 520-8650
Mailing address
115 N PEACHTREE AVE, COOKEVILLE, TN 38501-2546
(931) 528-2836
(931) 520-8650
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1965
TN
Other
Enumeration date
07/12/2005
Last updated
01/16/2008
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