Organization
MOBILE PATHOLOGY GROUP, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD J KENDALL MD (HEAD PHYSICIAN)
(251) 633-3617
Entity
Organization
Contact information
Practice address
6701 AIRPORT BLVD, SUITE B 218, MOBILE, AL 36608-6776
(251) 633-3617
(251) 633-9330
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
00022814
AL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
13909
AL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
7939
AL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528501000
—
AL
Enumeration date
04/19/2006
Last updated
10/09/2014
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