Pathlab LTD.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

PATHLAB LTD.

Practice address

933 East Pierce St.
Council Bluffs, IA 51503

Phone

(712) 396-6000

Fax

(712) 396-6288

NPI assigned

Oct 5, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Maureen A. Rushenberg

Title

President

Phone

(712) 396-4422

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605225600000",
    "number": "1801982731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2797",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681032797",
            "telephone_number": "402-354-4230",
            "fax_number": "402-354-6171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 EAST PIERCE ST.",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "51503",
            "telephone_number": "712-396-6000",
            "fax_number": "712-396-6288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHLAB LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A",
        "authorized_official_last_name": "RUSHENBERG",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "712-396-4422",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "08955",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa A. Pape, ARNP
• Kayla R Paris, PTA
• Angela Leigh Parker, ARNP
• Connie Jean Parker, ARRT
• Tammana J Patel, APRN-NP
• Beverly Patterson, PTA, LMT
• Kendal A Paulsen, MS, TLMHC
• Kimberly Paulsen
• Sherri Sue Payne, CRNP
• Traci Michelle Payne, RDH

• Anatomic Pathology & Clinical Pathology Physician in Council Bluffs, IA
• Providers in Council Bluffs, IA by specialty
• Anatomic Pathology & Clinical Pathology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.