National Provider Identifier Database

PROFESSIONAL PATHOLOGY SERVICES PC
Anatomic Pathology & Clinical Pathology

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.


Contact Information

PROFESSIONAL PATHOLOGY SERVICES PC
2100 N MLK BLVD
PLAINS REGIONAL MEDICAL CENTER
CLOVIS, NM88101
Phone: 505-769-7257
Fax: 505-769-7243
Website:
Specialty Taxonomy Code
* Anatomic Pathology & Clinical Pathology 207ZP0102X

* Indicates primary specialty

NPI Profile & details for PROFESSIONAL PATHOLOGY SERVICES PC

NPI Number 1083784177
Legal business name
LBN
PROFESSIONAL PATHOLOGY SERVICES PC
Authorized official JOHN HARRIS - (PRESIDENT PROFESSIONAL PATHOLOGY SE)
Entity Organization
Organization subpart No
Enumeration date 11/08/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • NM License #: 8944
  • WY License #: 2272A
  • NM Medicaid: 16545

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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