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Contact Information

JPB PATHOLOGY, INC
2301 S LAMAR
OXFORD, MS38655
 Phone: 662-232-8121
 Fax: 662-236-5236
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for JPB PATHOLOGY, INC

NPI # 1295717056
LBN Legal business name JPB PATHOLOGY, INC
Authorized official JOHN FULLENWIDER - (SOLE PROPRIETOR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/17/2005
Last updated 07/15/2011 - About 8 years ago
Identifiers
MS License # 25D0859785
MS Medicaid 02271856
Other DO6485 RAILROAD MEDICARE
MS Other 429087482 BLUE CROSS
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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