Organization
ATLANTA PATHOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN BONDELL MD (DIRECTOR)
(404) 522-0414
Entity
Organization
Contact information
Practice address
315 BOULEVARD STREET, 240, ATLANTA, GA 30312
(404) 522-0414
Mailing address
PO BOX 491239, LAWRENCEVILLE, GA 30049-0058
(800) 887-7338
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00002219A1
—
GA
01
—
00042
BLUE CROSS BLUE SHIELD
GA
Enumeration date
10/16/2008
Last updated
03/18/2010
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