Pathology/Dermatopathology
LBN: Hattiesburg Clinic Pa
Pathology/Dermatopathology is an health care organization with primary practice located at 421 S 28Th Ave Suite 310, Hattiesburg MS 39401-7206. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is the primary health care specialty.
Hattiesburg Clinic Pa can be contacted via phone (601) 579-5261, or through Batson, Bryan N via phone (601) 264-6000.
Contact Information
Primary practice address
421 S 28Th Ave Suite 310
Hattiesburg MS 39401-7206
Phone: (601) 579-5261
Fax: (601) 579-5257
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ZD0900X | ||
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X |
Profile Details
| NPI number | 1770672768 |
|---|---|
| LBN Legal business name | Hattiesburg Clinic Pa |
| DBA Doing business as | Pathology/Dermatopathology |
| Authorized official | Batson, Bryan N |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 11th, 2006 |
| Last updated | Feb 22nd, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770672768 | NPPES |
| Mississippi | MEDICAID | 08722873 |
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