RENAISSANCE PATHOLOGY ASSOCIATES PA
NPI 1376648246
Specialist in Eden, NC

Q: What is Renaissance Pathology Associates PA's NPI number?

The NPI number for Renaissance Pathology Associates PA is 1376648246. It was assigned to this organization in the NPPES registry on September 14, 2006.

Q: What is Renaissance Pathology Associates PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since September 14, 2006

117 E KINGS HWY, EDEN, NC 27288(336) 623-9711(336) 627-0900 Get Directions Write a Review

NPPES record last updated: September 13, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Renaissance Pathology Associates Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RENAISSANCE PATHOLOGY ASSOCIATES PA (NPI 1376648246) is a healthcare organization registered as a specialist in Eden, North Carolina and active in the NPI registry since September 2006. The organization lists Mark Saunders Jordan, President, as its authorized official.

NPPES Registry Identity

NPI1376648246

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameRENAISSANCE PATHOLOGY ASSOCIATES PA

Location Address117 E KINGS HWYEden, NC 27288-5201

Mailing AddressPo Box 767Eden, NC 27289-0767 · (336) 623-9711 · Fax (336) 627-0900

Phone(336) 623-9711

Fax(336) 627-0900

Organization SubpartNo

Authorized OfficialMark Saunders JordanPresident · (336) 623-9711

Enumeration DateSeptember 14, 2006

Last NPPES UpdateSeptember 13, 2010

✔ NPI 1376648246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in NC · 115326

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

117 E KINGS HWY, Eden, NC 27288

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Other Identifiers 1

Medicare ID-Type Unspecified2330644NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALLISON NICOLE WILLIAMS PA-C

Physician Assistant (Medical)