Gateway Pathology Assoc

LBN: Gateway Pathology Assoc
Gateway Pathology Assoc is an health care organization with primary practice located at 1410 N 4Th Street , Clinton IA 52732. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, which is considered as the primary health care specialty. Gateway Pathology Assoc can be contacted via phone (563) 242-5316, or through Mariano, Elpidio G via phone (563) 242-5316.

Contact Information

Primary practice address
1410 N 4Th Street Clinton IA 52732
Phone: (563) 242-5316
Fax: (563) 242-3128
Website:
Map and Directions
Authorized official contact:
Name: Mariano, Elpidio G Doctor of Medicine (MD)
Phone: (563) 242-5316

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X 21940 Iowa

Profile Details

NPI number 1457407124
LBN Legal business name Gateway Pathology Assoc
DBA Doing business as
Authorized official Mariano, Elpidio G Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2007
Last updated Nov 6th, 2007 - about 17 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 1457407124 NPPES
Iowa Other 31964 BC BS
Iowa MEDICAID 0477950 BC BS
Iowa Other DC6462 BC BS

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