Golden Triangle Pathology

LBN: Golden Triangle Pathology
Golden Triangle Pathology is an health care organization with primary practice located at 2520 5Th St N , Columbus MS 39705-2008. 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. Golden Triangle Pathology can be contacted via phone (800) 362-0858, or through Fullenwider, John P via phone (800) 362-0858.

Contact Information

Primary practice address
2520 5Th St N Columbus MS 39705-2008
Phone: (800) 362-0858
Fax: (662) 534-7188
Website:
Map and Directions
Authorized official contact:
Name: Fullenwider, John P Doctor of Medicine (MD)
Phone: (800) 362-0858

Health care specialties

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

Profile Details

NPI number 1760768329
LBN Legal business name Golden Triangle Pathology
DBA Doing business as
Authorized official Fullenwider, John P Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 2011
Last updated Nov 7th, 2014 - about 12 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 1760768329 NPPES
Mississippi MEDICAID 02622338
Mississippi Other DS3144

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