Provider Demographics
NPI:1154075273
Name:PATHOLOGY, INC.
Entity Type:Organization
Organization Name:PATHOLOGY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARMANDO
Authorized Official - Middle Name:
Authorized Official - Last Name:MONCADA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-301-4460
Mailing Address - Street 1:5485 BETHELVIEW RD STE 360-366
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30040-9735
Mailing Address - Country:US
Mailing Address - Phone:404-301-4460
Mailing Address - Fax:
Practice Address - Street 1:755 MOUNT VERNON HWY NE STE 270
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-4290
Practice Address - Country:US
Practice Address - Phone:404-301-4460
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-08
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty