Pathology Services, PC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PATHOLOGY SERVICES, PC

Practice address

3500 Central Ave Ste a
Kearney, NE 68847-2963

Phone

(308) 534-5244

NPI assigned

Jan 12, 2018

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

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.

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

  • 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, P.C.

  • Clinical Pathology/Laboratory Medicine Physician
  • North Platte, NE
  • NPI 1811982549
  NPD tax ID

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

{
    "created_epoch": "1515715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687737600000",
    "number": "1851809792",
    "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": "308-534-8718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 CENTRAL AVE STE A",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688472963",
            "telephone_number": "308-534-5244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHOLOGY SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-12",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "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": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Kearney, NE
• Providers in Kearney, NE by specialty
• Clinical Medical Laboratory in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.