Organization Active NPI

Susquehanna Pathology and Laboratory Consultants, PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Berwick, PA
National Provider Identifier
1396728648
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
SUSQUEHANNA PATHOLOGY AND LABORATORY CONSULTANTS, PC
Practice address
701 E 16TH St
Berwick, PA 18603-2316
Phone
(570) 288-8881
Fax
(570) 288-8065
NPI assigned
Nov 21, 2005
Last updated
Jul 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Authorized official

Name
Dr. Husam Hamati, MDNPI 1528069291
Title
MD
Phone
(570) 759-5000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Cytopathology Physician 207ZC0500X NU
Dermatopathology (Pathology) Physician 207ZD0900X NU
Hematology (Pathology) Physician 207ZH0000X NU
Immunopathology Physician 207ZI0100X NU
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X NU Primary
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X NU

Addresses

Primary practice location

701 E 16TH St
Berwick, PA 18603-2316

Mailing address

PO Box 1645
Kingston, PA 18704-0645
Phone (570) 288-8881

National Provider Directory

National Provider Directory

Locations

701 E 16th St
Berwick, PA 18603
Phone (570) 754-5000

5950 Sr 6
#8W
Tunkhannock, PA 18657

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626220800000",
    "number": "1396728648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1645",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187040645",
            "telephone_number": "570-288-8881",
            "fax_number": "570-288-8065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E 16TH ST",
            "city": "BERWICK",
            "state": "PA",
            "postal_code": "186032316",
            "telephone_number": "570-288-8881",
            "fax_number": "570-288-8065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSQUEHANNA PATHOLOGY AND LABORATORY CONSULTANTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-21",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A",
        "authorized_official_last_name": "HAMATI",
        "authorized_official_first_name": "HUSAM",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "570-759-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207ZI0100X",
            "taxonomy_group": "",
            "desc": "Pathology, Immunopathology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berwick, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.