Bethany Pathology Lab

LBN: Bethany Medical Center
Bethany Pathology Lab is an health care organization with primary practice located at 100 N Bridge St Suite C, Wilkesboro NC 28697-2488. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is the primary health care specialty. Bethany Medical Center can be contacted via phone (336) 883-0029, or through Womble, Mandy via phone (336) 883-0029.

Contact Information

Primary practice address
100 N Bridge St Suite C Wilkesboro NC 28697-2488
Phone: (336) 883-0029
Fax: (336) 899-2188
Website:
Map and Directions
Authorized official contact:
Name: Womble, Mandy
Phone: (336) 883-0029

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X North Carolina
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X North Carolina
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X North Carolina

Profile Details

NPI number 1992133870
LBN Legal business name Bethany Medical Center
DBA Doing business as Bethany Pathology Lab
Authorized official Womble, Mandy
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 31st, 2013
Last updated Oct 31st, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992133870 NPPES
North Carolina MEDICAID 89011F1
North Carolina MEDICAID 3409940
North Carolina MEDICAID 5907644
North Carolina MEDICAID 7901101

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