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.

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Contact Information

SOUTHEASTERN PATHOLOGY ASSOCIATES PA

300 W 27TH STREET
LUMBERTON, NC 28359

Phone: 910-671-5189
Fax: 910-671-5085
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Anatomic Pathology & Clinical Pathology	207ZP0102X	22	Physician/Pathology
Clinical Medical Laboratory	291U00000X	69	Clinical Laboratory

Indicates primary specialty

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NPI Profile & details for SOUTHEASTERN PATHOLOGY ASSOCIATES PA

NPI Number 1609825710

LBN Legal business name SOUTHEASTERN PATHOLOGY ASSOCIATES PA

Authorized official RICHARD JOHNSON - (PRESIDENT SPA PA)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/08/2006

Last updated 09/06/2007 - About 19 years ago

Identifiers

NC	License #	9300163
NC	Medicaid	8902710
NC	Other	02710	BLUE CROSS BLUE SHIELD

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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