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Contact Information

NORTH CENTRAL PATHOLOGY, P.A.
3701 12TH ST N
SUITE 201
SAINT CLOUD, MN56303-2255
 Phone: 320-253-6554
 Fax: 320-253-1218
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for NORTH CENTRAL PATHOLOGY, P.A.

NPI Number 1316278641
LBN Legal business name NORTH CENTRAL PATHOLOGY, P.A.
Authorized official CYNTHIA STADEL - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/27/2010
Last updated 01/27/2010 - About 16 years ago
Identifiers
MN License # 33302
MN Medicaid 729565100
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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