North Central Pathology PA

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

37636 Issued in MN

Legal business name

NORTH CENTRAL PATHOLOGY PA

Practice address

3701 12TH St N
Suite 201
Saint Cloud, MN 56303-2255

Phone

(320) 253-6554

Fax

(320) 253-1218

NPI assigned

Jun 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michelle Nyberg Hanson, M.D.

Title

Doctor

Phone

(320) 253-6554

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381708800000",
    "number": "1962449330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 12TH ST N",
            "address_2": "SUITE 201",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563032255",
            "telephone_number": "320-253-6554",
            "fax_number": "320-253-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 12TH ST N",
            "address_2": "SUITE 201",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563032255",
            "telephone_number": "320-253-6554",
            "fax_number": "320-253-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CENTRAL PATHOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2013-10-14",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "NYBERG",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "320-253-6554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MN",
            "license": "37636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "729565100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Nordquist
• Luann Marie Nordvik, RN
• Kelly Rae Norman, CNP
• North Central Ophthalmics
• North Central Pathology
• North Central Pathology, P.a.
• North Central Truck & Equipment
• Susan Lynn North
• Northern Star Therapy LTD
• Northern Star Therapy LTD

• Clinical Medical Laboratory in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Clinical Medical Laboratory in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; 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.