Tri County Pathology Associates Lab

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

TRI COUNTY PATHOLOGY ASSOCIATES LAB

Practice address

833 Campbell Hill St NW
Suite 111
Marietta, GA 30060-1134

Phone

(770) 424-7800

NPI assigned

Jan 9, 2009

Last updated

Jul 29, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

TRI COUNTY PATHOLOGY ASSOCIATES PCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Hany Bishara, MDNPI 1760444186

Title

President

Phone

(770) 424-7800

Specialties & licenses 2

Addresses

Other identifiers 1

Part of

Tricounty Pathology Ass

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hany M Bishara, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Marietta, GA
  • NPI 1760444186
  Authorized official Same address or phone
• Richard Ernest Fingerle, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Marietta, GA
  • NPI 1831115567
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248825600000",
    "number": "1164669388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60280",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294190280",
            "telephone_number": "770-424-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 CAMPBELL HILL ST NW",
            "address_2": "SUITE 111",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601134",
            "telephone_number": "770-424-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI COUNTY PATHOLOGY ASSOCIATES LAB",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRI COUNTY PATHOLOGY ASSOCIATES PC",
        "enumeration_date": "2009-01-09",
        "last_updated": "2009-07-29",
        "status": "A",
        "authorized_official_last_name": "BISHARA",
        "authorized_official_first_name": "HANY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-424-7800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00061652A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew C Traylor
• Eglee Josefina Treber, MED
• Michael Bruce Tremmel, PA-C
• Graham Peter Trent, MD
• Sydney Leigh Trevino, DO
• Tri-County Pathology Associates, P.C.
• Triad Ep, PC
• Lucy Andrea Triana, MD
• Melissa Trickey, LPC
• Ashleigh Tricksey, LPC

• Clinical Medical Laboratory in Marietta, GA
• Providers in Marietta, GA by specialty
• Clinical Medical Laboratory in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.