MEDICARE: PARTNERS IN PATHOLOGY, LLC

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
1	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1609037464
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARTNERS IN PATHOLOGY, LLC

Provider Business Mailing Address
First Line	:	19250 BAGLEY RD
Second Line	:	SUITE 103
City	:	CLEVELAND
State	:	OH
Zip	:	44130-3347
Country	:	US
Telephone Number	:	440-826-4020
Fax Number	:

Provider Business Practice Location Address
First Line	:	19250 BAGLEY RD
Second Line	:	SUITE 103
City	:	CLEVELAND
State	:	OH
Zip	:	44130-3347
Country	:	US
Telephone Number	:	440-826-4020
Fax Number	:

Authorized Official
Title or Position	:	MANAGER/PRESIDENT
Name	:	PAMELA J. BARBATO
Credential	:
Telephone Number	:	216-702-2270

Provider Enumeration Date	:	06/24/2008
Last Update Date	:	06/24/2008

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