Healthcare Provider Details

I. General information

NPI: 1548598626
Provider Name (Legal Business Name): PATHOLOGY CONSULTANTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2009
Last Update Date: 08/02/2021
Certification Date: 08/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1044 BELMONT AVE
YOUNGSTOWN OH
44504-1006
US

IV. Provider business mailing address

8166 MARKET ST SUITE D
YOUNGSTOWN OH
44512-6262
US

V. Phone/Fax

Practice location:
  • Phone: 330-953-3242
  • Fax:
Mailing address:
  • Phone: 330-953-3242
  • Fax: 330-953-3243

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. KEVIN SHEETZ
Title or Position: MANAGER
Credential: M.D.
Phone: 330-953-3242