Boyce & Bynum - Chariton Lab LLC

Primary specialty

Anatomic Pathology PhysicianTaxonomy code 207ZP0101X

Legal business name

BOYCE & BYNUM - CHARITON LAB LLC

Practice address

800 W Jefferson St
Kirksville, MO 63501-1443

Phone

(660) 626-2361

Fax

(660) 626-2244

NPI assigned

Aug 27, 2009

Last updated

Aug 27, 2009By 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

Mr. Michael Gray

Title

Administrator

Phone

(573) 886-4600

Specialties & licenses 2

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Boyce & Bynum Pathology Professional Services Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Columbia, MO
  • NPI 1689634818

  Member Of

  NPD member

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251331200000",
    "number": "1275766982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PORTLAND ST",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016525",
            "telephone_number": "573-886-4600",
            "fax_number": "573-886-4695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W JEFFERSON ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635011443",
            "telephone_number": "660-626-2361",
            "fax_number": "660-626-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOYCE & BYNUM - CHARITON LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-27",
        "last_updated": "2009-08-27",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "573-886-4600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaleb Bohrnstedt
• Ralph O Boling Jr., D.O.
• Martin Borrok Jr., DMD
• Gabrielle Allison Borup
• James L Bowers, DO
• Michelle Boyd, ATC
• Brendan Boyle
• Eric D Braaten, RASAC I
• Ronald A Brand, O.D.
• Westley Brandsgaard

• Anatomic Pathology Physician in Kirksville, MO
• Providers in Kirksville, MO by specialty
• Anatomic Pathology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; 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.