Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Renaissance Pathology Associates PA

Organization Specialist · NPI 1376648246

Renaissance Pathology Associates PA is a Specialist in Eden, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

117 E Kings Hwy
Eden, NC 27288-5201
Phone: (336) 623-9711
Fax: (336) 627-0900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 115326 (NC)

Record details

NPI number1376648246
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Jordan — President · (336) 623-9711
NPI enumeratedSeptember 14, 2006
Last updated in NPPESSeptember 13, 2010
Mailing addressPo Box 767, Eden, NC 27289-0767

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