Organization
MAYFIELD PATHOLOGY SERVICES PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY VILES MD (PRESIDENT)
(270) 251-4116
Entity
Organization
Contact information
Practice address
1099 MEDICAL CENTER CIRCLE, MAYFIELD, KY 42066
(270) 251-4520
(270) 251-4521
Mailing address
1029 MEDICAL CENTER CIRCLE, SUITE 405, MAYFIELD, KY 42066
(270) 251-4520
(270) 251-4521
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
200247
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37000213
—
KY
Enumeration date
02/16/2006
Last updated
08/22/2020
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