Organization
PIEDMONT PATHOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN MATHIS (PRACTICE MANAGER)
(828) 322-3821
Entity
Organization
Contact information
Practice address
1899 TATE BLVD SE, SUITE 1105, HICKORY, NC 28602-4200
(828) 322-3821
Mailing address
1899 TATE BLVD SE, SUITE 1105, HICKORY, NC 28602-4200
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
21248
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015M1
BCBS CLINICAL
NC
Enumeration date
08/05/2007
Last updated
08/05/2007
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