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Mercy Medical Center

Pathology, Clinical Pathology/Laboratory Medicine in Baltimore, MD. Organization (NPI-2).

NPI number1710696943
StatusActive
Last updated in NPPESNov 16, 2022

Details

NPI
1710696943
Entity type
Organization (NPI-2)
Legal business name
Mercy Medical Center
Organization subpart
No
Enumeration date
Nov 16, 2022
Certification date
Nov 11, 2022
Last updated
Nov 16, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine––Yes

Other names

  • Mercy Medical Center Laboratory (Other Name)

Practice location

301 Saint Paul Pl
Baltimore, MD 21202-2165

Phone 410-659-2963 · Fax 410-659-2963

Mailing address

301 St Paul Place
Medical Staff Office
Baltimore, MD 21202

Phone 410-659-2963 · Fax 410-659-2963

Authorized official

Justin Deibel
Chief Financial Officer
4106592905

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