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PETERSON LABORATORY SERVICES PA NPI 1699794669


NPI Information

NPI: 1699794669
Provider Name: PETERSON LABORATORY SERVICES, PA

Former Legal Business Name: PETERSON CLINICAL LABORATORY, PA

Classification: Pathology - 207ZP0102X
Entity Type: Organization

Specialization: Anatomic Pathology & Clinical Pathology

Address:
1133 COLLEGE AVE
MANHATTAN, KS
ZIP 66502
Phone: (785) 539-5363
Get Directions

PETERSON LABORATORY SERVICES, PA is an anatomic pathology and clinical pathology pathology in Manhattan, KS. 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. PETERSON LABORATORY SERVICES, PA NPI is 1699794669. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Peterson Clinical Laboratory, Pa.

The provider's business location address is:

1133 COLLEGE AVE
MANHATTAN, KS
ZIP 66502-770
Phone: (785) 539-5363
Fax: (785) 539-5862

The provider's authorized official is Stanley J. Werner .
The authorized official title is Administrator and has the following contact phone number (785) 539-5363.

The enumeration date for this NPI number is 7/19/2006 and was last updated on 3/6/2012.


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 Pathology17D0449919KANSASYes

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
1690077064OTHERKANSASRR MEDICARE
2008026MEDICARE ID-TYPE UNSPECIFIEDKANSAS
3100095750BMEDICAIDKANSAS

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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