Organization
ECLIPSE PATHOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN EVANS MD (MEMBER)
(256) 542-0110
Entity
Organization
Contact information
Practice address
12205 COUNTY LINE RD STE G, MADISON, AL 35758-7719
(256) 542-0110
Mailing address
12205 COUNTY LINE RD STE G, MADISON, AL 35758-7719
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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