NPIMap

Organization Active NPI

Pathology Services, P.C.

  • Clinical Medical Laboratory
  • North Platte, NE
National Provider Identifier
1710176367
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PATHOLOGY SERVICES, P.C.
Practice address
1931 W a St
North Platte, NE 69101-4577
Phone
(308) 534-5244
Fax
(308) 534-8718
NPI assigned
Oct 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Authorized official

Name
Jessica M Reagan
Title
Director of RCM
Phone
(541) 278-4340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1931 W a St
North Platte, NE 69101-4577

Mailing address

PO Box 1289
North Platte, NE 69103-1289
Phone (308) 534-5244

Other practice location 1

611 W Francis St
North Platte, NE 69101-0620
Phone (800) 745-8671

Other practice location 2

2121 N 117th Ave Ste 100A
Omaha, NE 68164-3629
Phone (800) 745-8671

Other identifiers 4

IdentifierTypeStateIssuer
5580030MedicaidSD
100174100BMedicaidKS
1710176367MedicaidIA
98000912MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071117000174 NE Part B Supplier - Clinic/Group Practice 5092803437 Receives reassigned benefits from 4 practitioners
Practice locations: North Platte, NE; Omaha, NE

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D0456332Pathology Services PC1931 West a Street, North Platte, NE 69101ComplianceAug 28, 2026
28D2331108Pathology Services PC2121 N 117TH Ave Ste 100a, Omaha, NE 68164RegistrationSep 25, 2027

National Provider Directory

National Provider Directory
Tax ID family
Pathology Services PC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

500 W Leota St
Ste 200
North Platte, NE 69101
Phone (308) 532-4700

Practitioners & affiliated clinicians

Practitioners 5

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": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782864000000",
    "number": "1710176367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1289",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691031289",
            "telephone_number": "308-534-5244",
            "fax_number": "308-534-0758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 W A ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691014577",
            "telephone_number": "308-534-5244",
            "fax_number": "308-534-8718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "611 W Francis St",
            "address_purpose": "LOCATION",
            "city": "North Platte",
            "state": "NE",
            "postal_code": "691010620",
            "country_code": "US",
            "telephone_number": "800-745-8671",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2121 N 117th Ave Ste 100A",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681643629",
            "country_code": "US",
            "telephone_number": "800-745-8671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PATHOLOGY SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A",
        "authorized_official_last_name": "REAGAN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR OF RCM",
        "authorized_official_telephone_number": "541-278-4340"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5580030",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100174100B",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710176367",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "98000912",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Platte, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.