Pathlink of Georgia LLC
NPI 1831890169ActiveOrganization· Pathology, Anatomic Pathology & Clinical Pathology· Riverdale, GA
Pathology, Anatomic Pathology & Clinical Pathology in Riverdale, Georgia, registered in NPPES in March 2023. The authorized official on file is Mario Gonzalez, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1831890169 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 14, 2023 |
| Last updated in NPPES | Mar 14, 2023 |
| Certified by provider | Mar 14, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pathology, Anatomic Pathology & Clinical Pathology Primary | 207ZP0102X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
Other Pathology, Anatomic Pathology & Clinical Pathology providers in Riverdale
- 1356898506
- 1396776084
- 1316183031
- 1811286446
- 1124098470
- 1972815785
- 1851308225
All Pathology, Anatomic Pathology & Clinical Pathology providers in Georgia →