MEDICARE: EASTERN CAROLINA PATHOLOGY INC

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0155Y	OTHER	NC	BCBS OF NC
2	202117	OTHER		MEDCOST
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1629066121
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EASTERN CAROLINA PATHOLOGY INC

Provider Business Mailing Address
First Line	:	PO BOX 3789
Second Line	:
City	:	MARTINSVILLE
State	:	VA
Zip	:	24115-3789
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2693 FOREST HILLS RD SW STE B
Second Line	:
City	:	WILSON
State	:	NC
Zip	:	27893-8611
Country	:	US
Telephone Number	:	252-234-9176
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JAMES B CASH
Credential	:	MD
Telephone Number	:	252-399-8156

Provider Enumeration Date	:	10/10/2005
Last Update Date	:	11/14/2007

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Directions to “EASTERN CAROLINA PATHOLOGY INC ” Practice Location

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