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SOUTHEASTERN PATHOLOGY P.C. NPI 1508848300


NPI Information

NPI: 1508848300
Provider Name: SOUTHEASTERN PATHOLOGY, P.C.
Classification: Pathology - 207ZP0102X
Entity Type: Organization

Specialization: Anatomic Pathology & Clinical Pathology

Address:
311 W 8TH ST NE
ROME, GA
ZIP 30165
Phone: (706) 291-8702
Get Directions

SOUTHEASTERN PATHOLOGY, P.C. is an anatomic pathology and clinical pathology pathology in Rome, GA. 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. SOUTHEASTERN PATHOLOGY, P.C. NPI is 1508848300. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

311 W 8TH ST NE
ROME, GA
ZIP 30165-723
Phone: (706) 291-8702
Fax: (706) 291-6514

The provider's authorized official is Tina G Burkhalter .
The authorized official title is Office Manager and has the following contact phone number (706) 314-0120.

The enumeration date for this NPI number is 11/17/2005 and was last updated on 1/14/2010.


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
1207ZC0500XPathologyCytopathology11D0256839GEORGIANo
2207ZD0900XPathologyDermatopathology11D0256839GEORGIANo
3207ZP0102XPathologyAnatomic Pathology & Clinical Pathology11D0256839GEORGIAYes

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
111-0291OTHERGEORGIAUHC PRACTICE PROV#
2H287MEDICARE PINALABAMA
3=========OTHERFEDERAL TIN #
400067691AMEDICAIDGEORGIA
5690403899MEDICARE ID-TYPE UNSPECIFIEDGEORGIARR MEDICARE LAB PROV#
611D0256839OTHERGEORGIACLIA#
7=========AMEDICARE PINGEORGIA

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: 5/5/2024

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