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Contact Information

MCD PATHOLOGY LLP
7777 FOREST LANE
DEPARTMENT OF PATHOLOGY
DALLAS, TX75230-2584
 Phone: 972-566-7283
 Fax: 792-566-7183
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Molecular Genetic Pathology

207ZP0007X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for MCD PATHOLOGY LLP

NPI # 1114959665
LBN Legal business name MCD PATHOLOGY LLP
Authorized official JO ELLEN KRUEGER - (PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/07/2006
Last updated 05/10/2022 - About 4 years ago
Identifiers
TX Medicaid 120722702
TX Other PM89 BLUE CROSS
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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