Healthcare Provider Details

I. General information

NPI: 1497598262
Provider Name (Legal Business Name): PAULA HURLEY ROSS CT(ASCP)
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PAULA JANE HURLEY CT(ASCP)

II. Dates (important events)

Enumeration Date: 06/18/2024
Last Update Date: 06/18/2024
Certification Date: 06/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1310 24TH AVE S
NASHVILLE TN
37212-2637
US

IV. Provider business mailing address

1310 24TH AVENUE SOUTH PATH AND LAB SVC. (113-HISTOLOGY)
NASHVILLE TN
37212
US

V. Phone/Fax

Practice location:
  • Phone: 615-873-7404
  • Fax: 615-873-8521
Mailing address:
  • Phone: 615-873-7404
  • Fax: 615-873-8521

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246QC2700X
TaxonomyCytotechnology Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: