Southeastern Pathology Associates Pc

LBN: Southeastern Pathology Associates Pc
Southeastern Pathology Associates Pc is an health care organization with primary practice located at 203 Indigo Dr , Brunswick GA 31525-6865. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Laboratories / Clinical Medical Laboratory. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is the primary health care specialty. Southeastern Pathology Associates Pc can be contacted via phone (912) 261-2669, or through Godbey, Patrick E via phone (912) 261-2669.

Contact Information

Primary practice address
203 Indigo Dr Brunswick GA 31525-6865
Phone: (912) 261-2669
Fax: (912) 261-0753
Website:
Map and Directions
Authorized official contact:
Name: Godbey, Patrick E Doctor of Medicine (MD)
Phone: (912) 261-2669

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X
Laboratories / Clinical Medical Laboratory 291U00000X 063012 Georgia
Laboratories / Clinical Medical Laboratory 291U00000X 800015943 Florida

Profile Details

NPI number 1821104704
LBN Legal business name Southeastern Pathology Associates Pc
DBA Doing business as
Authorized official Godbey, Patrick E Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 22nd, 2006
Last updated Oct 26th, 2021 - about 5 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 1821104704 NPPES
Florida MEDICAID 030707600
Florida MEDICAID 197742702B
Florida MEDICAID 031806000
Florida Other 04485
Florida MEDICAID 197742702A
Florida MEDICAID 030703300
Florida Other 38374

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