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PROFESSIONAL PATHOLOGY SERVICES PC NPI 1083784177


NPI Information

NPI: 1083784177
Provider Name: PROFESSIONAL PATHOLOGY SERVICES PC
Classification: Pathology - 207ZP0102X
Entity Type: Organization

Specialization: Anatomic Pathology & Clinical Pathology

Address:
2100 N MLK BLVD
PLAINS REGIONAL MEDICAL CENTER
CLOVIS, NM
ZIP 88101
Phone: (505) 769-7257
Get Directions

PROFESSIONAL PATHOLOGY SERVICES PC is an anatomic pathology and clinical pathology pathology in Clovis, NM. The provider is 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, exclusion and monitoring of disease. PROFESSIONAL PATHOLOGY SERVICES PC NPI is 1083784177. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2100 N MLK BLVD
PLAINS REGIONAL MEDICAL CENTER
CLOVIS, NM
ZIP 88101
Phone: (505) 769-7257
Fax: (505) 769-7243

The provider's authorized official is John David Harris .
The authorized official title is President Professional Pathology Se and has the following contact phone number (505) 769-7257.

The enumeration date for this NPI number is 11/8/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ZP0102XPathologyAnatomic Pathology & Clinical Pathology2272AWYOMINGNo
2207ZP0102XPathologyAnatomic Pathology & Clinical Pathology8944NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
116545MEDICAIDNEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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