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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 GRATTENDICK (CFO)
(954) 803-9405
Entity
Organization

Contact information

Practice address
1171 WINDROCK DR, MC LEAN, VA 22102-1547
(703) 404-8189
Mailing address
1355 RIVER BEND DR, DALLAS, TX 75247-4915
(214) 638-2000
(844) 751-9262

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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