NPI Details
J L COSTIN, MD, PC is a clinical medical laboratory in Poplar Bluff, MO. 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. J L COSTIN, MD, PC NPI is 1669522199. The provider is registered as an organization entity type.
The provider Is Doing Business As Physicians Pathology Services.
The provider's business location address is:
3069 N WESTWOOD BLVD
STE A
POPLAR BLUFF, MO
ZIP 63901
Phone: (573) 785-8405
Fax: (573) 778-0425
The provider's authorized official is Sue E Costin .
The authorized official title is Director Of Operations and has the following contact phone number (573) 785-8405.
The enumeration date for this NPI number is 1/10/2007 and was last updated on 11/28/2007.
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 |
| 1 | 291U00000X | Clinical Medical Laboratory | | | MISSOURI | Yes |
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 |
| 1 | 98839 | OTHER | MISSOURI | ARKANSAS FIRST SOURCE |
| 2 | 654990 | OTHER | MISSOURI | FIRST HEALTH |
| 3 | 119564 | OTHER | MISSOURI | BLUE CROSS BLUE SHIELD |
| 4 | 114817 | OTHER | MISSOURI | HEALTHLINK |
| 5 | A11628 | MEDICARE UPIN | MISSOURI | |
| 6 | 74954 | OTHER | MISSOURI | BLUE CROSS BLUE SHIELD AL |
| 7 | 98839 | OTHER | ARKANSAS | ARK FIRST SOURCE |
| 8 | P00199451 | OTHER | MISSOURI | RAILROAD MEDICARE |
