SOUTHWEST PATHOLOGY INC NPI 1356445969

NPI Information

  • NPI: 1356445969
  • Provider Name: SOUTHWEST PATHOLOGY, INC
  • Classification: Clinical Medical Laboratory - 291U00000X
  • Entity Type: Organization
  • Address: 8803 S. 101ST E. AVE
    SUITE 360
    TULSA, OK
    ZIP 74133
  • Phone: (918) 582-0001

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NPI Details

SOUTHWEST PATHOLOGY, INC is a clinical medical laboratory in Tulsa, OK. The provider is (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. SOUTHWEST PATHOLOGY, INC NPI is 1356445969. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8803 S. 101ST E. AVE
SUITE 360
TULSA, OK
ZIP 74133
Phone: (918) 582-0001
Fax: (918) 582-0003

The provider's authorized official is Melvin J Van Boven .
The authorized official title is Authorized Official and has the following contact phone number (918) 582-0001.

The enumeration date for this NPI number is 9/12/2006 and was last updated on 8/11/2021.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ZP0102XPathologyAnatomic Pathology & Clinical PathologyNo
2291U00000XClinical Medical LaboratoryYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1703687004MEDICAIDMISSOURI
2100245110AMEDICAIDKANSAS
3100739510AMEDICAIDOKLAHOMA
44033986OTHERTENNESSEEBLUE CROSS BLUE SHIELD
5175079901OTHERDEPT OF LABOR
64033986OTHERTENNESSEEBLUECROSS BLUESHIELD

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: 3/30/2025

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