National Provider Identifier Database

PATHOLOGISTS DIAGNOSTIC LABORATORY PA
Anatomic Pathology & Clinical Pathology

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.


Contact Information

PATHOLOGISTS DIAGNOSTIC LABORATORY PA
1800 S HAWTHORNE RD STE 100
WINSTON-SALEM, NC27103-4014
Phone: 336-999-8888
Fax: 336-999-8889
Website:
Specialty Taxonomy Code
* Anatomic Pathology & Clinical Pathology 207ZP0102X

* Indicates primary specialty

NPI Profile & details for PATHOLOGISTS DIAGNOSTIC LABORATORY PA

NPI Number 1003883877
Legal business name
LBN
PATHOLOGISTS DIAGNOSTIC LABORATORY PA
Authorized official CULLEN TAYLOR - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 03/01/2006
Last updated 12/12/2025 - About 6 months ago
Sole proprietor1 Not specified
Identifiers
  • NC License #: 22288
  • NC Medicaid: 7001277
  • VA Medicaid: 010345456
  • NC Other: 014HE BCBS

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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