Blue Mountain Pathology, Professioanl Corporation

NPI 1346204948 - Pathology - 207ZP0102X

NPI Details
NPI 1346204948
Enumeration Date 04/12/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name LISE M LISE
Position PRESIDENT
Phone (540) 772-3547
Fax
Practice Location
1802 BRAEBURN DR
SALEM VA, 24153-7357, US
Phone (540) 772-3547
Fax
Business Location
PO BOX 2311
CHATSWORTH CA, 91313-2311, US
Phone (818) 718-9500
Fax (818) 718-9507
Toxanomy
Taxonomy Code 207ZP0102X
License State
License Number
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According to our database, Blue Mountain Pathology, Professioanl Corporation NPI is 1346204948, taxonomy code is 207ZP0102X Blue Mountain Pathology, Professioanl Corporation physically located at 1802 Braeburn Dr, Salem VA, 24153-7357. NPI Number 1033115704 has the healthcare provider type.

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1346204948 NPI number is provided on an as is basis without warranty of any kind. 1346204948 is maintained by the National Plan & Provider Enumeration System. The contents of Blue Mountain Pathology, Professioanl Corporation are for informational purposes only.