Organization
MID-ATLANTIC PATHOLOGY SERVICES, INC
Active
Parent organization
MID-ATLANTIC PATHOLOGY SERVICES, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MID-ATLANTIC PATHOLOGY SERVICES, INC
Authorized official
MICHAEL GRATTENDICK (CFO)
(954) 803-9405
Entity
Organization
Contact information
Practice address
706 GREEN VALLEY RD STE 104, GREENSBORO, NC 27408-7043
(703) 404-8189
Mailing address
1355 RIVER BEND DR, DALLAS, TX 75247-4915
(954) 803-9405
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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