Tidewater Pathology Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

TIDEWATER PATHOLOGY INC

Practice address

924 Eastern Shore Rd
Virginia Beach, VA 23454-3504

Phone

(757) 362-4051

Fax

(757) 425-1834

NPI assigned

Jul 30, 2011

Organization subpart

No

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

Authorized official

Name

Savvas E Mendrinos, MD

Title

Owner

Phone

(757) 362-4051

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1311984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312156800000",
    "number": "1235417833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071090640",
            "telephone_number": "973-751-7515",
            "fax_number": "973-751-1394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 EASTERN SHORE RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543504",
            "telephone_number": "757-362-4051",
            "fax_number": "757-425-1834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDEWATER PATHOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-30",
        "last_updated": "2011-08-01",
        "status": "A",
        "authorized_official_last_name": "MENDRINOS",
        "authorized_official_first_name": "SAVVAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-362-4051",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tidewater Medical Care PC
• Tidewater Nephrology LTD
• Tidewater Pca Training
• Tidewater Ped. Consultants, PC
• Tidewater Pelvic Health
• Tidewater Physical Therapy, LLC (Pivot Physical Therapy of Virginia)
• Tidewater Physical Therapy, LLC

• Clinical Medical Laboratory in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Clinical Medical Laboratory in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; 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.