Organization
GREENVILLE PATHOLOGY, PA
Active
Organization
GREENVILLE PATHOLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EMILY AINSLEY (PRACTICE ADMINISTRATOR)
(252) 561-7992
Entity
Organization
Contact information
Practice address
2515 BOWMAN GRAY DR, GREENVILLE, NC 27834-7215
(252) 561-7992
(252) 752-2016
Mailing address
2515 BOWMAN GRAY DR, GREENVILLE, NC 27834-7215
(252) 561-7992
(252) 752-2016
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
34D0872845
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0255U
BCBS
NC
01
—
10301964
VOCATIONAL REHAB
NC
01
—
34D0872845
CLIA
NC
05
—
790255U
—
NC
01
—
CH2834
MEDICARE RR
NC
Enumeration date
05/18/2006
Last updated
10/11/2017
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