I believe the M.D. is required for positions such as medical director, director of pathology, chief pathologist or similar titles, but you could definately work as a pathologist and head up a particular department. We have a perinatal pathologist at my facility (hospital) with a Ph. D in microbiology and immunology. Can someone with a Ph.D in microbiology and immunology work in and possibly run a lab at a medical center?
If it is a medical center managed by a university then that is possible, MDs might ask for guidance based on your degree and field of study. As far as running a lab, yes that is possible too, that's what a PhD degree is for.
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