Pathology Associates II of Eastern North Carolina PC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PATHOLOGY ASSOCIATES II OF EASTERN NORTH CAROLINA PC

Practice address

110 Medical Dr
Suite 1
Elizabeth City, NC 27909-3374

Phone

(252) 338-8100

NPI assigned

Jun 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Robertson, MD

Title

President

Phone

(252) 338-8100

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240444800000",
    "number": "1831392760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3391",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241153391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MEDICAL DR",
            "address_2": "SUITE 1",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093374",
            "telephone_number": "252-338-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHOLOGY ASSOCIATES II OF EASTERN NORTH CAROLINA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2009-04-23",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-338-8100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7001317",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mohamad Mehdi Parva, M.D.
• Pasquotank County Dept of Social Services
• Pasquotank County Social Services
• Pasquotank River Inpatient Services LLC
• Pathology Associates II of Eastern North Carolina PC
• Pathways Counseling Center
• Pathways Human Services of North Carolina, LLC
• Felicia Patrick, RBT
• Cerissa Payment Rhodes, LCSW
• Billee Brown Payne, NP-C

• Clinical Medical Laboratory in Elizabeth City, NC
• Providers in Elizabeth City, NC by specialty
• Clinical Medical Laboratory in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.