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Contact Information

MOSAIC GASTROINTESTINAL PATHOLOGY SERVICES PLLC
1318 MARSH CREEK LN
COLLIERVILLE, TN38017-3940
 Phone: 901-850-3582
 Fax: 866-359-8798
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for MOSAIC GASTROINTESTINAL PATHOLOGY SERVICES PLLC

NPI # 1023038536
LBN Legal business name MOSAIC GASTROINTESTINAL PATHOLOGY SERVICES PLLC
Authorized official JULIA DAHL - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/20/2006
Last updated 12/04/2008 - About 18 years ago
Identifiers
AL License # 27153
CO License # DR-44161
CT License # 043452
IN License # 01061121A
KS License # 0431573
LA License # 15159R
MS License # 18432
NY License # 236521
SC License # 28383
TN License # 26678
TN License # 38315
TX License # L4321
UT License # 5898862
WA License # MD35554
WA License # MD38561
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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