Organization
PATHOLOGY SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL C. GRATTENDICK (VICE PRESIDENT)
(561) 626-5512
Entity
Organization
Contact information
Practice address
246 INDUSTRIAL WAY WEST, SUITE 2, EATONTOWN, NJ 07724
(732) 389-5200
(732) 389-5299
Mailing address
11025 RCA CENTER DR, SUITE 300, PALM BEACH GARDENS, FL 33410-4269
(561) 626-5512
(561) 626-4530
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00306788
RR MEDICARE
NJ
Enumeration date
03/08/2006
Last updated
11/29/2016
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