SOUTHEASTERN PATHOLOGY ASSOCIATES PA NPI 1609825710

NPI Information

  • NPI: 1609825710
  • Provider Name: SOUTHEASTERN PATHOLOGY ASSOCIATES PA
  • Classification: Pathology - 207ZP0102X
  • Specialization: Anatomic Pathology & Clinical Pathology
  • Entity Type: Organization
  • Address: 300 W 27TH STREET
    LUMBERTON, NC
    ZIP 28359
  • Phone: (910) 671-5189

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NPI Details

SOUTHEASTERN PATHOLOGY ASSOCIATES PA is an anatomic pathology and clinical pathology pathology in Lumberton, NC. 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 ASSOCIATES PA NPI is 1609825710. The provider is registered as an organization entity type.

The provider's business location address is:

300 W 27TH STREET
LUMBERTON, NC
ZIP 28359
Phone: (910) 671-5189
Fax: (910) 671-5085

The provider's authorized official is Richard Dewitt Johnson .
The authorized official title is President Spa Pa and has the following contact phone number (910) 671-5189.

The enumeration date for this NPI number is 5/8/2006 and was last updated on 9/6/2007.

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
1291U00000XClinical Medical LaboratoryNORTH CAROLINANo
2207ZP0102XPathologyAnatomic Pathology & Clinical Pathology9300163NORTH CAROLINAYes

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
102710OTHERNORTH CAROLINABLUE CROSS BLUE SHIELD
2204258MEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINA
3G35082MEDICARE UPIN
48902710MEDICAIDNORTH CAROLINA
52231727MEDICARE PIN

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: 11/21/2025

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