Butte Des Morts Pathology, S.C.

LBN: Butte Des Morts Pathology, S.C.
Butte Des Morts Pathology, S.C. is an health care organization with primary practice located at 1506 S Oneida St , Appleton WI 54915-1305. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as the primary health care specialty. Butte Des Morts Pathology, S.C. can be contacted via phone (920) 738-2000, or through Podlusky, Peter V via phone (920) 738-2000.

Contact Information

Primary practice address
1506 S Oneida St Appleton WI 54915-1305
Phone: (920) 738-2000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Podlusky, Peter V Doctor of Medicine (MD)
Phone: (920) 738-2000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X

Profile Details

NPI number 1205886918
LBN Legal business name Butte Des Morts Pathology, S.C.
DBA Doing business as
Authorized official Podlusky, Peter V Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205886918 NPPES
Wisconsin MEDICAID 32881300

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