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Contact Information

THREE RIVERS PATHOLOGY PA
2664 PATTON ROAD
ROSEVILLE, MN55113
 Phone: 651-635-9700
 Fax: 651-635-9026
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type
 

Anatomic Pathology

207ZP0101X 22 Physician/Pathology
 

Cytopathology

207ZC0500X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for THREE RIVERS PATHOLOGY PA

NPI # 1003878661
LBN Legal business name THREE RIVERS PATHOLOGY PA
Authorized official LARS CONWAY - (PRESIDENT)
Entity Organization
Organization subpart 1 Not specified
Enumeration date 04/06/2006
Last updated 07/08/2007 - About 12 years ago
Identifiers
MN Other 13984TH BCBS
MN Other C03199 RR 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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