Path Reference Lab

LBN: Holston Medical Group Pc
Path Reference Lab is an health care organization with primary practice located at 105 W Stone Dr 1H, Kingsport TN 37660-3256. The organization recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Medical Laboratory, which is considered as the primary health care specialty. Holston Medical Group Pc can be contacted via phone (423) 392-6200, or through Lawson, Audra via phone (423) 857-2066.

Contact Information

Primary practice address
105 W Stone Dr 1H Kingsport TN 37660-3256
Phone: (423) 392-6200
Fax: (423) 392-6593
Website:
Map and Directions
Authorized official contact:
Name: Lawson, Audra
Phone: (423) 857-2066

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Medical Laboratory 246RM2200X

Profile Details

NPI number 1356405120
LBN Legal business name Holston Medical Group Pc
DBA Doing business as Path Reference Lab
Authorized official Lawson, Audra
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2006
Last updated Dec 8th, 2010 - about 14 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 1356405120 NPPES
Virginia MEDICAID 000100137

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