Eastside Pathology Pc

LBN: Eastside Pathology Pc
Eastside Pathology Pc is an health care organization with primary practice located at 1700 Medical Way Pathology Dept, Snellville GA 30078. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as the primary health care specialty. Eastside Pathology Pc can be contacted via phone (770) 979-0200, or through Nunnery, Edwin W via phone (770) 979-0200.

Contact Information

Primary practice address
1700 Medical Way Pathology Dept Snellville GA 30078
Phone: (770) 979-0200
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nunnery, Edwin W Doctor of Medicine (MD)
Phone: (770) 979-0200

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X

Profile Details

NPI number 1831290915
LBN Legal business name Eastside Pathology Pc
DBA Doing business as
Authorized official Nunnery, Edwin W Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 25th, 2006
Last updated Sep 29th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831290915 NPPES
Georgia MEDICAID 300033615A
Georgia Other CN5006

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