Pediatric Pathology Associates

LBN: Pediatric Pathology Associates
Pediatric Pathology Associates is an health care organization with primary practice located at 100 N Medical Dr Pathology, Salt Lake City UT 84113-1103. The organization recently has 12 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Blood Banking & Transfusion Medicine, Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Forensic Pathology, Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Immunopathology, Allopathic & Osteopathic Physicians / Medical Microbiology, Allopathic & Osteopathic Physicians / Anatomic Pathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Chemical Pathology, Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, Allopathic & Osteopathic Physicians / Pediatric Pathology. Allopathic & Osteopathic Physicians / Pediatric Pathology is the primary health care specialty. Pediatric Pathology Associates can be contacted via phone (801) 588-3165, or through Coffin, Cheryl M via phone (801) 588-3165.

Contact Information

Primary practice address
100 N Medical Dr Pathology Salt Lake City UT 84113-1103
Phone: (801) 588-3165
Fax: (801) 588-3169
Website:
Map and Directions
Authorized official contact:
Name: Coffin, Cheryl M Doctor of Medicine (MD)
Phone: (801) 588-3165

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Blood Banking & Transfusion Medicine 207ZB0001X
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X
Allopathic & Osteopathic Physicians / Dermatopathology 207ZD0900X
Allopathic & Osteopathic Physicians / Forensic Pathology 207ZF0201X
Allopathic & Osteopathic Physicians / Hematology 207ZH0000X
Allopathic & Osteopathic Physicians / Immunopathology 207ZI0100X
Allopathic & Osteopathic Physicians / Medical Microbiology 207ZM0300X
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X
Allopathic & Osteopathic Physicians / Chemical Pathology 207ZP0104X
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X
Allopathic & Osteopathic Physicians / Pediatric Pathology 207ZP0213X

Profile Details

NPI number 1043319742
LBN Legal business name Pediatric Pathology Associates
DBA Doing business as
Authorized official Coffin, Cheryl M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2006
Last updated Sep 7th, 2011 - about 15 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 1043319742 NPPES
Idaho MEDICAID 807250500
Idaho MEDICAID 100502354
Idaho MEDICAID 118430000

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