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Contact Information

BOYCE - BYNUM PATHOLOGY LABORATORIES, INC
200 PORTLAND ST
COLUMBIA, MO65201
 Phone: 573-886-4600
 Fax: 573-886-4695
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Medical Laboratory

291U00000X 69 Clinical Laboratory
Indicates primary specialty

NPI Profile & details for BOYCE - BYNUM PATHOLOGY LABORATORIES, INC

NPI Number 1205896594
LBN Legal business name BOYCE - BYNUM PATHOLOGY LABORATORIES, INC
Authorized official RICHARD COTTEN - (CHIEF OPERATING OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/23/2006
Last updated 06/20/2018 - About 8 years ago
Identifiers
MO License # 26D0652373
AR Medicaid 126758709
IL Medicaid 36079966
IN Medicaid 300000488
KS Medicaid 100455390B
KY Medicaid 6593789800
LA Medicaid 2194119
MO Medicaid 700595812
MS Medicaid 8156825
OH Medicaid 275331
OK Medicaid 20030120A
Other 120064 BLUE CROSS BLUE SHIELD
Other 888497 MERCY CAREPLUS
Other 700595812 MISSOURI CARE
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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