Pathology Services, P.C.

Primary specialty

Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X

Legal business name

PATHOLOGY SERVICES, P.C.

Practice address

1931 W a St
North Platte, NE 69101-4577

Phone

(308) 532-4700

Fax

(308) 534-0534

NPI assigned

Sep 19, 2005

Organization subpart

No

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

Authorized official

Name

Dianna J Brouillette

Title

General Manager

Phone

(308) 532-4700

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

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

• Pathology Services, P.C.

  • Clinical Medical Laboratory
  • North Platte, NE
  • NPI 1710176367

  5092803437

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Pathology Services, P.C.

  dba Physicians Office Building Laboratory

  • Clinical Medical Laboratory
  • North Platte, NE
  • NPI 1598750226

  O20071117000175

  Same enrollment

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.

• Pathology Services, P.C.

  dba North Platte OB Clinic Lab

  • Clinical Medical Laboratory
  • North Platte, NE
  • NPI 1477548105
  NPD tax ID
• Pathology Services, P.C.

  dba Physicians Office Building Laboratory

  • Clinical Medical Laboratory
  • North Platte, NE
  • NPI 1598750226
  NPD tax ID
• Pathology Services, P.C.

  • Clinical Medical Laboratory
  • North Platte, NE
  • NPI 1710176367
  NPD tax ID
• Pathology Services, PC

  • Clinical Medical Laboratory
  • Kearney, NE
  • NPI 1851809792
  NPD tax ID

Locations

Practitioners 3

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

• Byron L. Barksdale, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • North Platte, NE
  • NPI 1073508750

  Dermatopathology

  NPD
• Delane A Wycoff, M.D.

  • Clinical Pathology/Laboratory Medicine Physician
  • North Platte, NE
  • NPI 1326033028
  NPD
• Alvin Alfred Armstrong Jr., M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • North Platte, NE
  • NPI 1861597965
  NPD (past)

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1811982549",
    "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": "308-532-4700",
            "fax_number": "308-534-0534"
        },
        {
            "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": "308-532-4700",
            "fax_number": "308-534-0534"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "611 W Francis St Ste 120",
            "address_purpose": "LOCATION",
            "city": "North Platte",
            "state": "NE",
            "postal_code": "691010614",
            "country_code": "US",
            "telephone_number": "308-534-5244",
            "fax_number": "308-534-8718",
            "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": "308-532-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PATHOLOGY SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-19",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "BROUILLETTE",
        "authorized_official_first_name": "DIANNA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "308-532-4700"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "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": "1811982549",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "98000912",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Parkside Periodontal and Implant Center LLC
• Marissa Marie Pascoe, CNA
• Pathology Services, P.C. (North Platte OB Clinic Lab)
• Pathology Services, P.C. (Physicians Office Building Laboratory)
• Pathology Services, P.C.
• Elizabeth M Patterson, DNP,APRN, FNP-C
• Kristi Patterson, SLP
• Erica M Paulson
• Pawnee Assisted Living (Hotel Pawnee)
• Nathaniel Paxton

• Clinical Pathology/Laboratory Medicine Physician in North Platte, NE
• Providers in North Platte, NE by specialty
• Clinical Pathology/Laboratory Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.