David Resen Pathology Services S C

LBN: David Resen Pathology Services S C
David Resen Pathology Services S C is an health care organization with primary practice located at 8619 Edgewater Rdg , Omro WI 54963-9760. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as the primary health care specialty. David Resen Pathology Services S C can be contacted via phone (920) 376-1255, or through Resen, Maribeth via phone (920) 376-1255.

Contact Information

Primary practice address
8619 Edgewater Rdg Omro WI 54963-9760
Phone: (920) 376-1255
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Resen, Maribeth
Phone: (920) 376-1255

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 32951 Wisconsin

Profile Details

NPI number 1619205390
LBN Legal business name David Resen Pathology Services S C
DBA Doing business as
Authorized official Resen, Maribeth
Entity Organization
Organization subpart 1 No
Enumeration date Nov 18th, 2009
Last updated Oct 28th, 2015 - about 9 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 1619205390 NPPES
Wisconsin MEDICAID 33321900

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