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Contact Information

PROFESSIONAL PATHOLOGY ASSOCIATES
150 REYNOIR ST
BILOXI, MS39530-4130
 Phone: 228-432-1571
 Fax: 228-436-1256
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Clinical Pathology/Laboratory Medicine

207ZP0105X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for PROFESSIONAL PATHOLOGY ASSOCIATES

NPI # 1174516108
LBN Legal business name PROFESSIONAL PATHOLOGY ASSOCIATES
Authorized official JOHN NELSON - (HEAD PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 08/24/2005
Last updated 10/18/2024 - More than a year ago
Identifiers
MS Medicaid 05488071
Other CM1404 RAILROAD
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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