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NPI Code Detail

MEDICARE: TRUCORE PATHOLOGY PLLC

MEDICARE: TRUCORE PATHOLOGY PLLC
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
1207ZC0006XClinical Pathology Physician

General Provider Information

NPI Number : 1407336753
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRUCORE PATHOLOGY PLLC
Provider Business Mailing Address
First Line : 5100 TALLEY RD STE 300
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72204-8040
Country : US
Telephone Number : 501-500-6565
Fax Number : 501-500-6681
Provider Business Practice Location Address
First Line : 5100 TALLEY RD STE 300
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72204-8040
Country : US
Telephone Number : 501-500-6767
Fax Number :
Authorized Official
Title or Position : AUTHORIZED OFFICIAL
Name : ADAM COLE
Credential : MD
Telephone Number : 318-834-5225
Provider Enumeration Date : 08/16/2018
Last Update Date : 05/29/2024

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Directions to “TRUCORE PATHOLOGY PLLC ” Practice Location

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