Provider Demographics
NPI:1467938993
Name:FOCUS PATHOLOGY MEDICAL LABORATORY PLLC
Entity Type:Organization
Organization Name:FOCUS PATHOLOGY MEDICAL LABORATORY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:EKATERINA
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTANO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-937-3300
Mailing Address - Street 1:10 PEARL ST FL 4
Mailing Address - Street 2:
Mailing Address - City:PORT CHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:10573-4611
Mailing Address - Country:US
Mailing Address - Phone:914-937-3300
Mailing Address - Fax:914-937-3322
Practice Address - Street 1:10 PEARL ST FL 4
Practice Address - Street 2:
Practice Address - City:PORT CHESTER
Practice Address - State:NY
Practice Address - Zip Code:10573-4611
Practice Address - Country:US
Practice Address - Phone:914-937-3300
Practice Address - Fax:914-937-3322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-18
Last Update Date:2018-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY267516291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory