Healthcare Provider Details

I. General information

NPI: 1972502532
Provider Name (Legal Business Name): ALLIED DIAGNOSTIC PATHOLOGY CONSULTANTS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2005
Last Update Date: 07/21/2022
Certification Date: 11/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 N CLAYTON ST
WILMINGTON DE
19805
US

IV. Provider business mailing address

701 N CLAYTON ST STE 301 MSB
WILMINGTON DE
19805-3165
US

V. Phone/Fax

Practice location:
  • Phone: 302-575-8103
  • Fax:
Mailing address:
  • Phone: 302-575-8103
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number
License Number StateDE

VIII. Authorized Official

Name: DR. JAMES MONIHAN
Title or Position: PRESIDENT
Credential: MD
Phone: 302-575-8103