Organization
INNOVATIVE PATHOLOGY SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK JOSEPH BEUERLEIN MD (PRESIDENT)
(865) 522-7591
Entity
Organization
Contact information
Practice address
501 19TH ST, SUITE 301, KNOXVILLE, TN 37916-1854
(865) 522-7591
(865) 546-2618
Mailing address
PO BOX 60820, NORTH CHARLESTON, SC 29419-0820
(843) 554-9300
(843) 566-8780
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
MD29152
TN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD29152
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3404216
—
TN
Enumeration date
03/24/2006
Last updated
04/22/2015
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