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Contact Information

PATHOLOGY SERVICE CORPORATION
3902 OAKWOOD HILLS PKWY STE 2
EAU CLAIRE, WI54701-7781
 Phone: 715-858-3260
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Blood Banking & Transfusion Medicine

207ZB0001X 22 Physician/Pathology
 

Chemical Pathology

207ZP0104X 22 Physician/Pathology
 

Clinical Pathology/Laboratory Medicine

207ZP0105X 22 Physician/Pathology
 

Dermatopathology

207ZD0900X 22 Physician/Pathology
 

Hematology

207ZH0000X 22 Physician/Pathology
 

Immunopathology

207ZI0100X 22 Physician/Pathology
 

Neuropathology

207ZN0500X 22 Physician/Pathology
 

Pediatric Pathology

207ZP0213X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for PATHOLOGY SERVICE CORPORATION

NPI # 1972561140
LBN Legal business name PATHOLOGY SERVICE CORPORATION
Authorized official ROBERT RIDENOUR - (PATHOLOGIST - PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/03/2006
Last updated 04/26/2025 - More than a year ago
Identifiers
WI Medicaid 32692700
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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