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NPI Code Detail

MEDICARE: GREENSBORO PATHOLOGY, LLC

MEDICARE: GREENSBORO 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
1291U00000XClinical Medical Laboratory

General Provider Information

NPI Number : 1952396202
Entity Type Code : Organization
Provider Name (Legal Business Name) : GREENSBORO PATHOLOGY, LLC
Provider Business Mailing Address
First Line : 1355 RIVER BEND DR
Second Line :
City : DALLAS
State : TX
Zip : 75247-4915
Country : US
Telephone Number : 214-638-2000
Fax Number : 844-751-9262
Provider Business Practice Location Address
First Line : 706 GREEN VALLEY RD
Second Line : SUITE 104
City : GREENSBORO
State : NC
Zip : 27408-7038
Country : US
Telephone Number : 336-271-4930
Fax Number : 336-271-8466
Authorized Official
Title or Position : SR. DIRECTOR
Name : DINA VALLADARES
Credential :
Telephone Number : 561-514-5822
Provider Enumeration Date : 09/13/2005
Last Update Date : 12/19/2025

Similar Medicare Providers

1174518559 — DONALD R. PULITZER M.D.
Practice Location Address:
706 GREEN VALLEY RD , SUITE 104
GREENSBORO, NC
27408-7038
Practice Phone: 336-271-4930
Practice Fax: 336-271-8466
1134114598 — JOHN H. ARRINGTON III M.D.
Practice Location Address:
706 GREEN VALLEY RD , SUITE 104
GREENSBORO, NC
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Practice Phone: 336-271-4930
Practice Fax: 336-271-8466
1750376067 — NATALIE D. DEPCIK-SMITH M.D.
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706 GREEN VALLEY RD , SUITE 104
GREENSBORO, NC
27408-7038
Practice Phone: 336-271-4930
Practice Fax: 336-271-8466
1851386882 — WAIN L. WHITE M.D.
Practice Location Address:
706 GREEN VALLEY RD , SUITE 104
GREENSBORO, NC
27408-7038
Practice Phone: 336-271-4930
Practice Fax: 336-271-8466
1528046562 — DR. MARY E GEOROFF MD
Practice Location Address:
706 GREEN VALLEY RD , SUITE 104
GREENSBORO, NC
27408-7038
Practice Phone: 336-387-2500
Practice Fax: 336-387-2568
1568435485 — MRS. BARBARA ANNE FOUSEK MSW, M.ED. LCSW,ACSW
Practice Location Address:
706 GREEN VALLEY RD , SUITE 100
GREENSBORO, NC
27408-7038
Practice Phone: 336-272-1972
Practice Fax: 336-510-9937

Directions to “GREENSBORO PATHOLOGY, LLC ” Practice Location

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