Organization Active NPI

Southern Pathology a Professional Medical Corporation

  • Clinical Medical Laboratory
  • Covington, LA
National Provider Identifier
1275812448
Registry record updated Sep 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
SOUTHERN PATHOLOGY A PROFESSIONAL MEDICAL CORPORATION
Practice address
67241 Industry LN
Covington, LA 70433-8705
Phone
(985) 898-2754
Fax
(985) 898-2624
NPI assigned
Aug 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2011

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

Authorized official

Name
Dr. Pamela M Bartholomew, M.D.NPI 1366481996
Title
President
Phone
(985) 898-2754

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X LA Primary

Addresses

Primary practice location

67241 Industry LN
Covington, LA 70433-8705

Mailing address

67241 Industry LN
Covington, LA 70433-8705
Phone (985) 898-2754

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316131200000",
    "number": "1275812448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67241 INDUSTRY LN",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338705",
            "telephone_number": "985-898-2754",
            "fax_number": "985-898-2624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67241 INDUSTRY LN",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338705",
            "telephone_number": "985-898-2754",
            "fax_number": "985-898-2624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN PATHOLOGY A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-05",
        "last_updated": "2011-09-16",
        "status": "A",
        "authorized_official_last_name": "BARTHOLOMEW",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "985-898-2754",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; 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.