Healthcare Provider Details

I. General information

NPI: 1598759433
Provider Name (Legal Business Name): CYTOPATH, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2005
Last Update Date: 03/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1004 1ST ST N SUITE 200
ALABASTER AL
35007-8766
US

IV. Provider business mailing address

PO BOX 11407 DRAWER 428
BIRMINGHAM AL
35246-0100
US

V. Phone/Fax

Practice location:
  • Phone: 888-737-9797
  • Fax: 205-664-1879
Mailing address:
  • Phone: 800-897-6169
  • Fax: 800-897-6170

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZC0500X
TaxonomyCytopathology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. TERESA L VENZ-WILLIAMSON
Title or Position: PRESIDENT
Credential: MD
Phone: 888-737-9797