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Contact Information

SOUTHCENTRAL PATHOLOGY LABORATORY, PA
929 N SAINT FRANCIS ST
WICHITA, KS67214-3821
 Phone: 316-268-5426
 Fax: 316-652-0340
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cytopathology

207ZC0500X 22 Physician/Pathology
 

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Clinical Pathology/Laboratory Medicine

207ZP0105X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for SOUTHCENTRAL PATHOLOGY LABORATORY, PA

NPI # 1326028564
LBN Legal business name SOUTHCENTRAL PATHOLOGY LABORATORY, PA
Authorized official JOEL ALDERSON - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/21/2006
Last updated 10/11/2023 - About 3 years ago
Identifiers
KS Medicaid 100212820A
KS Other 016357 BCBS
KS Other CP8323 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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