National Provider Identifier Database

SOUTHEASTERN PATHOLOGY ASSOCIATES PA
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

SOUTHEASTERN PATHOLOGY ASSOCIATES PA
300 W 27TH STREET
LUMBERTON, NC28359
Phone: 910-671-5189
Fax: 910-671-5085
Website:
Specialty Taxonomy Code
* Anatomic Pathology & Clinical Pathology 207ZP0102X
Clinical Medical Laboratory 291U00000X

* Indicates primary specialty

NPI Profile & details for SOUTHEASTERN PATHOLOGY ASSOCIATES PA

NPI Number 1609825710
Legal business name
LBN
SOUTHEASTERN PATHOLOGY ASSOCIATES PA
Authorized official RICHARD JOHNSON - (PRESIDENT SPA PA)
Entity Organization
Organization subpart No
Enumeration date 05/08/2006
Last updated 09/06/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • NC License #: 9300163
  • NC Medicaid: 8902710
  • NC Other: 02710 BLUE CROSS BLUE SHIELD

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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