Pathology Associates of Mid Louisiana

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

PATHOLOGY ASSOCIATES OF MID LOUISIANA

Practice address

2915 Missouri Ave
Shreveport, LA 71109-4327

Phone

(318) 621-8820

NPI assigned

Oct 10, 2005

Last updated

Jun 12, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

George K. Harrison, MDNPI 1063400513

Title

Partner

Phone

(318) 621-8820

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• George K. Harrison, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Shreveport, LA
  • NPI 1063400513
  Authorized official Same address or phone
• Gregory Phillip Wellman, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Shreveport, LA
  • NPI 1720027592
  NPD (past)
• Robert Bruce Williams, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Shreveport, LA
  • NPI 1457349946
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370995200000",
    "number": "1235127663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 731281",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753731281",
            "telephone_number": "318-841-9526",
            "fax_number": "318-841-9551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 MISSOURI AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711094327",
            "telephone_number": "318-621-8820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHOLOGY ASSOCIATES OF MID LOUISIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-10",
        "last_updated": "2013-06-12",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "318-621-8820",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Dhiren Patel
• Shivani Patel, FNP
• Stavan Yogendra Patel, DDS, MD
• Vidhi Patel, MD
• Zeena Patel
• Shilpadevi Sharanagouda Patil, M.D
• Allison French Patterson, LCSW
• Alyssa Denee Patterson, PTA
• Aubrey Coleman Patterson, RN
• Eugene Edward Patterson, MD

• Anatomic Pathology & Clinical Pathology Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Anatomic Pathology & Clinical Pathology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.