Cimarron Pathology Pa

LBN: Cimarron Pathology Pa
Cimarron Pathology Pa is an health care organization with primary practice located at 1436 N Western Ave , Liberal KS 67901-2212. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Cimarron Pathology Pa can be contacted via phone (620) 626-8500, or through Peterson, Hubert via phone (620) 626-8500.

Contact Information

Primary practice address
1436 N Western Ave Liberal KS 67901-2212
Phone: (620) 626-8500
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Peterson, Hubert Doctor of Medicine (MD)
Phone: (620) 626-8500

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X

Profile Details

NPI number 1629049648
LBN Legal business name Cimarron Pathology Pa
DBA Doing business as
Authorized official Peterson, Hubert Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 28th, 2006
Last updated Jul 29th, 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 1629049648 NPPES
Oklahoma MEDICAID 100757940A
Oklahoma Other 690009229
Oklahoma Other 130243
Oklahoma MEDICAID 100328010A

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