Watauga Pathology Associates Pc

LBN: Watauga Pathology Associates Pc
Watauga Pathology Associates Pc is an health care organization with primary practice located at 400 N State Of Franklin Rd , Johnson City TN 37604-6035. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is the primary health care specialty. Watauga Pathology Associates Pc can be contacted via phone (423) 431-6388, or through Soike, David Richard via phone (423) 431-6388.

Contact Information

Primary practice address
400 N State Of Franklin Rd Johnson City TN 37604-6035
Phone: (423) 431-6388
Fax: (423) 431-6331
Website:
Map and Directions
Authorized official contact:
Name: Soike, David Richard Doctor of Medicine (MD)
Phone: (423) 431-6388

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X MD0000020115 Tennessee
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X MD0000015437 Tennessee

Profile Details

NPI number 1720053945
LBN Legal business name Watauga Pathology Associates Pc
DBA Doing business as
Authorized official Soike, David Richard Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2006
Last updated Feb 18th, 2008 - 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 1720053945 NPPES
Tennessee MEDICAID 3384912

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