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SOUTHWESTERN PATHOLOGY ASSOCIATES NPI 1306032891


NPI Information

NPI: 1306032891
Provider Name: SOUTHWESTERN PATHOLOGY ASSOCIATES
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
4704 NW MOTIF MANOR BLVD
SUITE 7
LAWTON, OK
ZIP 73505
Phone: (580) 536-0021
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SOUTHWESTERN PATHOLOGY ASSOCIATES is a specialist in Lawton, OK. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SOUTHWESTERN PATHOLOGY ASSOCIATES NPI is 1306032891. The provider is registered as an organization entity type.

The provider's business location address is:

4704 NW MOTIF MANOR BLVD
SUITE 7
LAWTON, OK
ZIP 73505-800
Phone: (580) 536-0021
Fax: (580) 536-1024

The provider's authorized official is Michael C Mcginnis .
The authorized official title is Director Of Pathology/owner and has the following contact phone number (580) 536-0021.

The enumeration date for this NPI number is 9/19/2007 and was last updated on 4/20/2008.


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
1291U00000XClinical Medical Laboratory19385OKLAHOMANo
2174400000XSpecialist19385OKLAHOMAYes

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
12738769MEDICAIDNEW YORK
20051543MEDICAIDNEW JERSEY
3085046MEDICARE PINNEW JERSEY
4DD1085OTHERRR MEDICARE
5113671MEDICARE PINNEW JERSEY
6=========MEDICARE PINOKLAHOMA
72359692000OTHERNEW JERSEYAMERIHEALTH
85001537OTHERNEW JERSEYGHI
9G20266MEDICARE UPINOKLAHOMA

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: 11/14/2023

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