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Contact Information

CENTRAL REGIONAL PATHOLOGY LABORATORIES PA
2945 HAZELWOOD STREET
SUITE 310
MAPLEWOOD, MN55109-1244
 Phone: 651-264-1521
 Fax: 651-264-1661
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for CENTRAL REGIONAL PATHOLOGY LABORATORIES PA · (Female)

NPI # 1609827484
Status Active
Credentials
Entity Individual
Enumeration date 05/15/2006
Last updated 06/04/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers
  • MN License # PF169
  • MN Other C01224 UPP MEDICARE GRP
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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