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Contact Information

LAKELAND PATHOLOGY
750 E 34TH ST
HIBBING, MN55746-2341
 Phone: 218-312-3002
 Fax: 218-312-3003
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for LAKELAND PATHOLOGY

NPI # 1720118714
LBN Legal business name LAKELAND PATHOLOGY
Authorized official THOMAS UNCINI - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/07/2007
Last updated 10/20/2010 - About 16 years ago
Identifiers
MN License # 29005
MN Medicaid 979273200
MN Other 14784LA BLUE CROSS BLUE SHIELD
MN Other CS4970 RAILROAD MEDICARE
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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