Organization
MARLBORO CHESTERFIELD PATHOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DELL A DEMBOSKY MD. (OWNER)
(843) 479-2402
Entity
Organization
Contact information
Practice address
30 PAGE ST., PINEHURST, NC 28374-8449
(843) 479-2402
(843) 479-6609
Mailing address
PO BOX 4270, PINEHURST, NC 28370-8449
(843) 479-2402
(843) 479-6609
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0120X
BSBS NC
—
05
—
890120X
—
NC
05
—
GP0789
—
SC
Enumeration date
12/19/2005
Last updated
10/30/2013
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