Lakeland Pathology

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

29005 Issued in MN

Legal business name

LAKELAND PATHOLOGY

Practice address

750 E 34TH St
Hibbing, MN 55746-2341

Phone

(218) 312-3002

Fax

(218) 312-3003

NPI assigned

Mar 7, 2007

Organization subpart

No

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

Authorized official

Name

Thomas Uncini, M.D.

Title

Owner

Phone

(218) 312-3002

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287532800000",
    "number": "1720118714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E 25TH STREET",
            "city": "HIBBING",
            "state": "MN",
            "postal_code": "557462341",
            "telephone_number": "218-312-3002",
            "fax_number": "218-312-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E 34TH ST",
            "city": "HIBBING",
            "state": "MN",
            "postal_code": "557462341",
            "telephone_number": "218-312-3002",
            "fax_number": "218-312-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND PATHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2010-10-20",
        "status": "A",
        "authorized_official_last_name": "UNCINI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-312-3002",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MN",
            "license": "29005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "14784LA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CS4970",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "979273200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Gilbert Krause, M.D.
• Melissa Kristin Kriske, ATC
• Meredith J Kujala, S.W.
• Marianne Kay Kunsch, MD
• Brylee Laitala
• Juliann Marie Lange, MS, ATC
• Judy Arlene Lanners, CPHT
• Deb Larose, LPN
• Clorrisa Jo Larsen
• Heather Larson, RN, CNP

• Anatomic Pathology & Clinical Pathology Physician in Hibbing, MN
• Providers in Hibbing, MN by specialty
• Anatomic Pathology & Clinical Pathology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; 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.