Natchez Pathology Laboratory

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

NATCHEZ PATHOLOGY LABORATORY

Practice address

5 Stahlman St
Natchez, MS 39120-4612

Phone

(601) 442-8171

Fax

(601) 446-9403

NPI assigned

Jan 10, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Suzanne M Stecker

Title

Owner

Phone

(601) 442-8171

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• John C Hancock, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Jackson, MS
  • NPI 1720067994
  NPD (past)

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508915349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 STAHLMAN ST",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391204612",
            "telephone_number": "601-442-8171",
            "fax_number": "601-446-9403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 STAHLMAN ST",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391204612",
            "telephone_number": "601-442-8171",
            "fax_number": "601-446-9403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATCHEZ PATHOLOGY LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STECKER",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-442-8171",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1145238",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00013535",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natchez Medical Foundation
• Natchez Medical Foundation Inc.
• Natchez Oncology Center
• Natchez Oncology Clinic Incorporated
• Natchez Opital
• Natchez Pediatric Clinic PLLC
• Natchez Podiatry & Foot Surgery PA
• Natchez Podiatry PLLC
• Natchez Regional Anesthesia
• Natchez Regional Clinic

• Clinical Medical Laboratory in Natchez, MS
• Providers in Natchez, MS by specialty
• Clinical Medical Laboratory in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.