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SOUTHERN OKLAHOMA PATHOLOGY ASSOC. INC. NPI 1508978149


NPI Information

NPI: 1508978149
Provider Name: SOUTHERN OKLAHOMA PATHOLOGY ASSOC., INC.
Classification: Pathology - 207ZP0102X
Entity Type: Organization

Specialization: Anatomic Pathology & Clinical Pathology

CLIA Number: 37D0475850

Address:
421 N MONTE VISTA ST
ADA, OK
ZIP 74820
Phone: (580) 332-9595
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SOUTHERN OKLAHOMA PATHOLOGY ASSOC., INC. is an anatomic pathology and clinical pathology pathology in Ada, OK. 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. SOUTHERN OKLAHOMA PATHOLOGY ASSOC., INC. NPI is 1508978149. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

421 N MONTE VISTA ST
ADA, OK
ZIP 74820-609
Phone: (580) 332-9595
Fax: (580) 332-4921

The provider's authorized official is John Wesley Mooring .
The authorized official title is Owner and has the following contact phone number (800) 288-8325.

The CLIA number assigned to this NPI record is 37D0475850 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/31/2006 and was last updated on 8/28/2023.


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 Pathology8286OKLAHOMAYes

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
1CO5064OTHEROKLAHOMARAILROAD MEDICARE
2100758421BMEDICAIDOKLAHOMA

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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