PATHOLOGY SERVICES PC (NPI# 1811982549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811982549 |
| Entity Type | Organization |
| Organization Name | PATHOLOGY SERVICES PC |
| Practice Address |
500 W Leota St Suite 200 North Platte NE 69101-6576 |
| Mailing Address |
Po Box 1289 North Platte NE 69103-1289 |
| Practice Telephone | 3085345244 |
| Practice Fax Number | 3085348718 |
| Mailing Telephone | 3085345244 |
| Mailing Fax Number | 3085348718 |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2018-01-12 |
| Authorized Official Name | MS. CONNIE TINES (BILLING MANAGER) |
| Authorized Official Telephone | 3085345244 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
15625 | NE | Allopathic & Osteopathic Physicians |
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
15625 | NE | Allopathic & Osteopathic Physicians |
| Y | 291U00000X | Clinical Medical Laboratory | 28D0456332 | NE | Laboratories |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710176367 | Pathology Services PC | Pathology | 601 W Leota St, North Platte, NE 69101-6525 | 2007-10-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | PATHOLOGY SERVICES PC | 10435 Nw Sichel Ct, Portland, OR 97229 |
| Street Address |
500 W LEOTA ST SUITE 200 |
| City | NORTH PLATTE |
| State | NE |
| Zip Code | 69101-6576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073508750 | Byron L. Barksdale | Dermatology | 500 W Leota St, Suite 200, North Platte, NE 69101-6576 | 2005-09-19 |
| 1336537711 | Stacey Coppersmith | Physician Assistant | 500 W Leota St, Suite 100, North Platte, NE 69101-6576 | 2015-01-07 |
| 1053608646 | Emily J Jones | Family Medicine | 500 W Leota St, Suite 100, North Platte, NE 69101-6576 | 2011-07-01 |
| 1518151323 | Susan M Schuckert Md PC | Internal Medicine | 500 W Leota St, Ste 100, North Platte, NE 69101-6576 | 2007-09-05 |
| 1831380740 | Lyndann M Sokolowski | Nurse Practitioner | 500 W Leota St, Suite 100, North Platte, NE 69101-6576 | 2007-08-06 |
| 1962530485 | Internal Medicine Associates of North Platte LLC | Specialist | 500 W Leota St, Suite 150, North Platte, NE 69101-6576 | 2007-02-28 |
| 1821027996 | Natalie Ann Waskowiak | Physician Assistant | 500 W Leota St, Suite 150, North Platte, NE 69101-6576 | 2006-07-01 |
| 1205877636 | Nebraska Sleep Lab LLC | Clinic/Center | 500 W Leota St, Suite 250, North Platte, NE 69101-6576 | 2006-06-09 |
| 1548209174 | Kristin S Lake | Internal Medicine | 500 W Leota St, Suite 100, North Platte, NE 69101-6576 | 2006-06-06 |
| 1700872504 | F. Lyle Walters Barksdale | Pathology | 500 W Leota St, North Platte, NE 69101-6578 | 2005-09-27 |
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|---|---|---|---|---|
| 1972017523 | Rocky Mountain Holdings, LLC | Ambulance | 5570 E. Lee Bird Drive, Northe Platte, NE 69101 | 2017-11-18 |
| 1396297503 | Karen L Gutherless | Counselor | 401 W Walker Road, North Platte, NE 69101 | 2016-11-04 |
| 1992165898 | Laren Alden Roper Jr. | Occupational Therapist | 1115 S Cottonwood, Great Plains Sports and Therapy Center, North Platte, NE 69101 | 2016-03-04 |
| 1669733085 | Stephanie Lynn Marcy | Anesthesiology | 601 W Leota Street, Anes: Anesthesiology, North Platte, NE 69101 | 2012-06-01 |
| 1033480470 | Wb Counseling LLC | Counselor | 319 E. B St., North Platte, NE 69101 | 2012-01-17 |
| 1306114962 | Amy J Kloess | Occupational Therapist | 8165 North Twin Lakes Rd, North Platte, NE 69101 | 2011-12-09 |
| 1043442312 | Derek Walrod | Dentist | 1225 South Poplar, Suite 500, North Platte, NE 69101 | 2009-08-20 |
| 1033374525 | Millie Erickson | Urology | 611 W. Francis St., Suite 200, North Platte, NE 69101 | 2008-07-23 |
| 1952586331 | West Central District Health Department | Public Health or Welfare | 111 North Dewey Street, North Platte, NE 69101 | 2008-01-04 |
| 1558579698 | Piper Dental Clinic | Dentist | 1919 West A Street, North Platte, NE 69101 | 2007-05-21 |
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| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477548105 | Pathology Services, P.C. | Clinical Medical Laboratory | 1115 S Willow St, North Platte, NE 69101-6082 | 2005-09-19 |
| 1598750226 | Pathology Services, P.C. | Clinical Medical Laboratory | 611 W Francis St, North Platte, NE 69101-0614 | 2005-09-19 |
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| 1659588705 | Rtg Medical | Clinical Medical Laboratory | 3028 Paddock Road, Apartment 113a, Omaha, NE 68124 | 2007-05-17 |
| 1760527683 | Creighton University | Clinical Medical Laboratory | 651 N 27th St, Criss II, Omaha, NE 68178-0023 | 2007-02-20 |
| 1548316300 | Toxicology Laboratories Incorporated | Clinical Medical Laboratory | 4472 South 84th Street, Omaha, NE 68127 | 2007-01-26 |
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| City | NORTH PLATTE |
| Zip Code | 69101 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.