Organization
UNIVERSITY PATHOLOGY GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL V STEVENS PHD (ADMINISTRATIVE DIRECTOR)
(901) 448-7920
Entity
Organization
Contact information
Practice address
930 MADISON AVE, SUITE 500, MEMPHIS, TN 38163-0001
(901) 448-7020
(901) 448-8364
Mailing address
930 MADISON AVE, SUITE 500, MEMPHIS, TN 38163-0001
(901) 448-7020
(901) 448-8364
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
3232
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3404362
GROUP PRICING NUMBER
TN
Enumeration date
12/12/2005
Last updated
08/22/2020
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