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NPI Code Detail

MEDICARE: COTTLE PATHOLOGY SERVICES, INC

MEDICARE: COTTLE PATHOLOGY SERVICES, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1922081405
Entity Type Code : Organization
Provider Name (Legal Business Name) : COTTLE PATHOLOGY SERVICES, INC
Provider Business Mailing Address
First Line : PO BOX 29220
Second Line :
City : PARMA
State : OH
Zip : 44129-0220
Country : US
Telephone Number : 800-288-8325
Fax Number :
Provider Business Practice Location Address
First Line : 7007 POWERS BLVD
Second Line :
City : PARMA
State : OH
Zip : 44129-5437
Country : US
Telephone Number : 440-743-4356
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. EDWARD C COTTLE
Credential : MD
Telephone Number : 440-743-4356
Provider Enumeration Date : 11/29/2005
Last Update Date : 08/22/2020

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Directions to “COTTLE PATHOLOGY SERVICES, INC ” Practice Location

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