Active NPI
Southern Pathology, a Professional Medical Corporation
- Anatomic Pathology & Clinical Pathology Physician
- Covington, LA
National Provider Identifier
1972634715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- Legal business name
- SOUTHERN PATHOLOGY, A PROFESSIONAL MEDICAL CORPORATION
- Practice address
- 67241 Industry Lane
Covington, LA 70433-8705 - Phone
- (985) 892-7206
- Fax
- (985) 892-9990
- NPI assigned
- Mar 7, 2007
- Last updated
- May 1, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pamela M Bartholomew, M.D.
- Title
- President
- Phone
- (985) 892-7206
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | NU | Primary |
Addresses
Primary practice location
67241 Industry Lane
Covington, LA 70433-8705
Mailing address
PO Box 1750
Covington, LA 70434-1750
Phone (985) 892-7206
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1442585 | Medicaid | LA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Anatomic Pathology Physician
- Covington, LA
- NPI 1366481996
-
- Anatomic Pathology & Clinical Pathology Physician
- Covington, LA
- NPI 1427077148
-
- Anatomic Pathology & Clinical Pathology Physician
- Covington, LA
- NPI 1396898995
-
- Anatomic Pathology Physician
- Gretna, LA
- NPI 1255367132
-
- General Practice Physician
- Orlando, FL
- NPI 1033165600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209600000000",
"number": "1972634715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1750",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704341750",
"telephone_number": "985-892-7206",
"fax_number": "985-892-9990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67241 INDUSTRY LANE",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704338705",
"telephone_number": "985-892-7206",
"fax_number": "985-892-9990"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN PATHOLOGY, A PROFESSIONAL MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-07",
"last_updated": "2008-05-01",
"status": "A",
"authorized_official_last_name": "BARTHOLOMEW",
"authorized_official_first_name": "PAMELA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "985-892-7206",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1442585",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Covington, LA
- Southeast Louisiana Home Health, LLC
- Southern Bariatric Associates
- Southern Institute for Women's Sexual Health
- Southern Medical Development
- Southern Pathology a Professional Medical Corporation
- Southern Pulmonary and Sleep, LLC
- Southern Sleep Institute, LLC
- Blake Sowers, MD
- Malik C. Spady, M.D.
- Joseph T Spalitta, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.