Organization
MD PATHOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER HARTSHORN (VICE PRESIDENT)
(314) 803-0330
Entity
Organization
Contact information
Practice address
11904 KANIS RD, SUITE H7, LITTLE ROCK, AR 72211-3733
(501) 687-9220
Mailing address
1324 CLARKSON CLAYTON CTR, PO BOX 316, ELLISVILLE, MO 63011-2145
(314) 803-0330
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
12/14/2012
Last updated
12/14/2012
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