Mid-Atlantic Pathology Services, Inc

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

MID-ATLANTIC PATHOLOGY SERVICES, INC

Practice address

706 Green Valley Rd Ste 104
Greensboro, NC 27408-7043

Phone

(703) 404-8189

NPI assigned

Jun 25, 2024

Last updated

Jun 25, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

MID-ATLANTIC PATHOLOGY SERVICES, INCAs reported in NPPES

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

Authorized official

Name

Michael Grattendick

Title

Cfo

Phone

(954) 803-9405

Specialties & licenses 1

Addresses

Tax ID family

Mid-Atlantic Pathology5 organizations share this tax ID, including this one

Part of

Mid-Atlantic Pathology

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Mid-Atlantic Pathology Services, Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Monroe, MI
  • NPI 1194560953
  NPD tax ID
• Mid-Atlantic Pathology Services, Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Falls Church, VA
  • NPI 1235974080
  NPD tax ID
• Mid-Atlantic Pathology Services, Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • McLean, VA
  • NPI 1720823578
  NPD tax ID
• Mid-Atlantic Pathology Services, Inc.

  • Anatomic Pathology & Clinical Pathology Physician
  • McLean, VA
  • NPI 1891229720
  NPD tax ID

Locations

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

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1578308334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 RIVER BEND DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474915",
            "telephone_number": "954-803-9405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 GREEN VALLEY RD STE 104",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087043",
            "telephone_number": "703-404-8189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-ATLANTIC PATHOLOGY SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MID-ATLANTIC PATHOLOGY SERVICES, INC",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "GRATTENDICK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "954-803-9405"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Hancock LCSW & Assoc
• Michelle Kane PSYD PLLC
• Holland Michels, LSWA
• Angelica Najee Mickel
• Prenard Rainey Mickens, D.D.S.
• Kimberly Middleton, RN
• Stewart Daniel Middleton II, LCMHCA, NCC, BC-TMH
• Jorah Midgette
• Midstate Partners of NC LLC (Access Senior Care)
• Letizia B Migliaccio, PT, DPT

• Anatomic Pathology & Clinical Pathology Physician in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Anatomic Pathology & Clinical Pathology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.