Southwest Pathology, Inc
LBN: Southwest Pathology, Inc
Southwest Pathology, Inc is an health care organization with primary practice located at 8803 S. 101St E. Ave Suite 360, Tulsa OK 74133. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Laboratories / Clinical Medical Laboratory. Laboratories / Clinical Medical Laboratory is the primary health care specialty.
Southwest Pathology, Inc can be contacted via phone (918) 582-0001, or through Van Boven, Melvin J via phone (918) 582-0001.
Contact Information
Primary practice address
8803 S. 101St E. Ave Suite 360
Tulsa OK 74133
Phone: (918) 582-0001
Fax: (918) 582-0003
Website:
Authorized official contact:
Name: Van Boven, Melvin J Doctor of Osteopathy (DO)
Phone: (918) 582-0001
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | ||
| Laboratories / Clinical Medical Laboratory | 291U00000X |
Profile Details
| NPI number | 1356445969 |
|---|---|
| LBN Legal business name | Southwest Pathology, Inc |
| DBA Doing business as | |
| Authorized official | Van Boven, Melvin J Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 12th, 2006 |
| Last updated | Aug 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356445969 | NPPES |
| Oklahoma | MEDICAID | 100739510A | |
| Oklahoma | MEDICAID | 100245110A | |
| Oklahoma | MEDICAID | 703687004 | |
| Oklahoma | Other | 4033986 | |
| Oklahoma | Other | 4033986 | |
| Oklahoma | Other | 175079901 |
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