Organization
UTMG DERMATOPATHOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. M. BARRY RANDALL M.D. (DIRECTOR)
(901) 866-8360
Entity
Organization
Contact information
Practice address
930 MADISON AVE STE 890, MEMPHIS, TN 38103-3413
(901) 866-8834
Mailing address
1068 CRESTHAVEN RD STE 300, MEMPHIS, TN 38119-0809
(901) 866-8748
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
TN
Other
Enumeration date
12/06/2012
Last updated
01/23/2025
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