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Contact Information

NORTHERN UTAH PATHOLOGY PC
1400 N 500 E
LOGAN, UT84341-2455
 Phone: 435-716-5375
 Fax: 843-284-3401
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for NORTHERN UTAH PATHOLOGY PC

NPI # 1053383141
LBN Legal business name NORTHERN UTAH PATHOLOGY PC
Authorized official MATTHEW KERSHISNIK - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/03/2006
Last updated 01/07/2008 - About 18 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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