Southeastern Pathology, P.C.

LBN: Southeastern Pathology, P.C.
Southeastern Pathology, P.C. is an health care organization with primary practice located at 311 W 8Th St Ne , Rome GA 30165-2723. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is the primary health care specialty. Southeastern Pathology, P.C. can be contacted via phone (706) 291-8702, or through Burkhalter, Tina G via phone (706) 314-0120.

Contact Information

Primary practice address
311 W 8Th St Ne Rome GA 30165-2723
Phone: (706) 291-8702
Fax: (706) 291-6514
Website:
Map and Directions
Authorized official contact:
Name: Burkhalter, Tina G
Phone: (706) 314-0120

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X 11D0256839 Georgia
Allopathic & Osteopathic Physicians / Dermatopathology 207ZD0900X 11D0256839 Georgia
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 11D0256839 Georgia

Profile Details

NPI number 1508848300
LBN Legal business name Southeastern Pathology, P.C.
DBA Doing business as
Authorized official Burkhalter, Tina G
Entity Organization
Organization subpart 1 No
Enumeration date Nov 17th, 2005
Last updated Jan 14th, 2010 - about 15 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 1508848300 NPPES
Georgia Other 11-0291 UHC PRACTICE PROV#
Georgia Other 11D0256839 UHC PRACTICE PROV#
Georgia MEDICAID 00067691A UHC PRACTICE PROV#

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