Provider Demographics
NPI:1578708368
Name:APP-ECP, LLC
Entity Type:Organization
Organization Name:APP-ECP, LLC
Other - Org Name:EASTERN CAROLINA PATHOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:ATHANASSIOS
Authorized Official - Middle Name:
Authorized Official - Last Name:PAPAIOANU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-916-3200
Mailing Address - Street 1:658 GRASSMERE PARK STE 104
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-3683
Mailing Address - Country:US
Mailing Address - Phone:615-916-3200
Mailing Address - Fax:615-916-3218
Practice Address - Street 1:2693 FOREST HILLS RD SW
Practice Address - Street 2:SUITE B
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27893
Practice Address - Country:US
Practice Address - Phone:252-234-2841
Practice Address - Fax:252-234-9270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-08
Last Update Date:2021-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
34D0947174291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1578708368Medicaid
NC2576412Medicare PIN