Maxillofacial Pathology

LBN: Bryn Mawr Oral Pathology & Biopsy Inc
Maxillofacial Pathology is an health care organization with primary practice located at 3407 W Bryn Mawr Ave , Chicago IL 60659-3450. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Bryn Mawr Oral Pathology & Biopsy Inc can be contacted via phone (773) 267-1110, or through Mostofi, Reza via phone (773) 267-1110.

Contact Information

Primary practice address
3407 W Bryn Mawr Ave Chicago IL 60659-3450
Phone: (773) 267-1110
Fax: (773) 267-1081
Website:
Map and Directions
Authorized official contact:
Name: Mostofi, Reza Doctor of Dental Medicine (DMD)
Phone: (773) 267-1110

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X 14D0862191 Illinois

Profile Details

NPI number 1093751596
LBN Legal business name Bryn Mawr Oral Pathology & Biopsy Inc
DBA Doing business as Maxillofacial Pathology
Authorized official Mostofi, Reza Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2006
Last updated Aug 19th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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