NPI 1306916937

Bolivar Pathology Services

Organisation Contractor Cleveland, MS

Practice location

Address: 901 E Sunflower Rd 901 Hwy 8 East, Cleveland, MS 38732-2833
Phone: (662) 846-5689
Fax: (662) 846-2244
Mailing address: PO Box 98535, Raleigh, NC 27624-8535

Authorised official

Name: Maria G Sparacino
Title: Pathologist
Phone: (601) 573-2307

Registered specialties (2)

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 16044 (MS)

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Clinical Medical Laboratory

Laboratories Taxonomy 291U00000X Licence 16044 (MS)

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Registry record

NPI: 1306916937
Entity type: Organization
NPI issued: 9 Nov 2006
Record last updated: 4 Feb 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.