Mid Vermont Pathology Pc

LBN: Mid Vermont Pathology Pc
Mid Vermont Pathology Pc is an health care organization with primary practice located at 160 Allen Street Rutland Regional Medical Center, Rutland VT 05701. 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. Mid Vermont Pathology Pc can be contacted via phone (802) 747-1786, or through Masuck, Tony via phone (802) 259-3490.

Contact Information

Primary practice address
160 Allen Street Rutland Regional Medical Center Rutland VT 05701
Phone: (802) 747-1786
Fax: (802) 747-6525
Website:
Map and Directions
Authorized official contact:
Name: Masuck, Tony Doctor of Medicine (MD)
Phone: (802) 259-3490

Health care specialties

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

Profile Details

NPI number 1316085814
LBN Legal business name Mid Vermont Pathology Pc
DBA Doing business as
Authorized official Masuck, Tony Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 5th, 2007
Last updated Jul 30th, 2019 - about 6 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 1316085814 NPPES
Vermont MEDICAID OVN2068

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