Organization
MARDINI PATHOLOGY, LTD
Active
Other names
Great Basin Pathology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE MARDINI MD (PRESIDENT)
(775) 753-5845
Entity
Organization
Contact information
Practice address
1250 LAMOILLE HWY, ELKO, NV 89801-4396
(775) 753-5845
Mailing address
1250 LAMOILLE HWY, ELKO, NV 89801-4396
(775) 753-5845
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
291U00000X
Clinical Medical Laboratory
Primary
29D0966835
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002004030
—
NV
Enumeration date
03/28/2006
Last updated
08/07/2008
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