Grant Nybakken in Philadelphia - Clinical Pathology/laboratory Medicine
Grant Nybakken - NPI 1104088400
Grant Nybakken is a Clinical Pathology/laboratory Medicine in Philadelphia, Pennsylvania. Grant Nybakken practices all healthcare services and medical treatments related to Clinical Pathology/laboratory Medicine. The NPI Number for Grant Nybakken is 1104088400. The last update date is 2021-12-15.
Grant Nybakken's current location address is 3400 Spruce St, Philadelphia, Pennsylvania. You can contact this provider via phone number 2156623957. The mailing address for Grant Nybakken is 3400 Spruce St, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Grant Nybakken |
|---|---|
| Address | 3400 Spruce St, Philadelphia, Pennsylvania |
| Phone Number | 2156623957 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1104088400 |
|---|---|
| Provider Enumeration Date | 2008-06-27 |
| Last Updated Date | 2021-12-15 |
Provider Mailing Address Detail
| Address | 3400 Spruce St |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191044238 |
| Phone Number | 2156623957 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Pathology/laboratory Medicine |
|---|---|
| Taxonomy | 207Zp0105X |
| Licence No | MT193042 |
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Definition: A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gat |
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What is the unique 10-digit identifier code assigned to Grant Nybakken by the Centers for Medicare & Medicaid Services?
The Grant Nybakken has been issued the NPI (National Provider Identifier) 1104088400 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Grant Nybakken's facilities are situated?
The facilities of Grant Nybakken are physically located at the following address: 3400 Spruce St, Philadelphia, PA, 191044238.
What is Grant Nybakken's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Grant Nybakken is Clinical Pathology/laboratory Medicine, and the taxonomy code that categorizes this field of expertise is 207Zp0105X.
On what date did the Grant Nybakken receive the assignment of its 1104088400 from the Centers for Medicare & Medicaid Services?
The Grant Nybakken was issued its 1104088400 by the Centers for Medicare & Medicaid Services on 2008-06-27.
As of what date were the details related to Grant Nybakken most recently updated or revised?
The information pertaining to Grant Nybakken, including its address, specialty, and other relevant details, was last updated or revised on 2021-12-15.