North Platte Pathology LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

NORTH PLATTE PATHOLOGY LLC

Practice address

111 S Jefferson St
Ste 150B
Casper, WY 82601-2654

Phone

(307) 337-1670

NPI assigned

Feb 1, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Lydia Christiansen, M.D.NPI 1952499667

Title

President

Phone

(307) 337-1670

Specialties & licenses 1

Addresses

Member of 2

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

• Professional Pathology of Wyoming

  • Anatomic Pathology & Clinical Pathology Physician
  • Casper, WY
  • NPI 1801181730

  Member Of

  NPD member
• Wyoming Medical Center Inc

  • General Acute Care Hospital
  • Casper, WY
  • NPI 1346332954

  Member Of

  NPD member

Locations

Practitioners 2

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

• Lydia R Christiansen, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Charleston, SC
  • NPI 1952499667
  NPD Authorized official
• Nyasha Onika Bullock, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Houston, TX
  • NPI 1932337631
  NPD (past)

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1386916724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2090",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826022090",
            "telephone_number": "307-337-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S JEFFERSON ST",
            "address_2": "STE 150B",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012654",
            "telephone_number": "307-337-1670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH PLATTE PATHOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-01",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "CHRISTIANSEN",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-337-1670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Copeland Norcross, M.D.
• Emily Jane Norris, LCSW
• William Ray Norris
• North Big Horn Hospital District
• North Big Horn Hospital District
• Morgan North, ATC
• Northplatte Physical Therpy Services Inc
• Northstar Sleep Lab, LLC
• Northwest Community Action Programs of Wyoming, Inc.
• Julie A Novick, F.N.P.

• All providers in Casper, WY
• Clinical Medical Laboratory in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; 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.