Individual provider · Type 1 NPI

Matthew Bryan Mastrodomenico, MD

Anatomic Pathology & Clinical Pathology Physician · Shreveport, LA

NPI number 1487944930 Active

Practice location

2915 Missouri Ave
Shreveport, LA 71109-4327

Call (318) 621-8820 Map

Fax (318) 212-4189

Mailing address

PO Box 731280
Dallas, TX 75373-1280

Specialties and licenses

TaxonomyCodeLicense
Anatomic Pathology & Clinical Pathology Physician Primary 207ZP0102XMD.301728 (LA)
Anatomic Pathology & Clinical Pathology Physician 207ZP0102XMD37690 (SC)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Anatomic Pathology & Clinical Pathology Physician: A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, ex…

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About NPI 1487944930

Matthew Bryan Mastrodomenico, MD's National Provider Identifier is 1487944930, issued on Apr 17, 2011. The primary taxonomy on file is Anatomic Pathology & Clinical Pathology Physician (207ZP0102X), and the practice location is in Shreveport, LA. The record was last updated on Jul 22, 2016.