Southeastern Pathology Associates Pc in Brunswick - Clinical Medical Laboratory
Southeastern Pathology Associates Pc - NPI 1821104704
Southeastern Pathology Associates Pc is a Clinical Medical Laboratory in Brunswick, Georgia. Southeastern Pathology Associates Pc practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for Southeastern Pathology Associates Pc is 1821104704. The last update date is 2021-10-26.
Southeastern Pathology Associates Pc's current location address is 203 Indigo Dr, Brunswick, Georgia. You can contact this provider via phone number 9122612669 and fax number 9122610561. The mailing address for Southeastern Pathology Associates Pc is 203 Indigo Dr, Brunswick, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southeastern Pathology Associates Pc |
|---|---|
| Address | 203 Indigo Dr, Brunswick, Georgia |
| Phone Number | 9122612669 |
| Fax Number | 9122610561 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Godbey E Patrick |
| Credentials | M.D. |
| Telephone Number | 9122612669 |
NPI Number Detail
| NPI Number | 1821104704 |
|---|---|
| Provider Enumeration Date | 2006-08-22 |
| Last Updated Date | 2021-10-26 |
Provider Mailing Address Detail
| Address | 203 Indigo Dr |
|---|---|
| City | Brunswick |
| State | Georgia (GA) |
| Post Code | 315256865 |
| Phone Number | 9122612669 |
| Fax Number | 9122610561 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Medical Laboratory |
|---|---|
| Taxonomy | 291U00000X |
| Licence No | 63012 |
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Definition: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purp |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 30707600 | FL | -- | |
| 197742702B | GA | -- | |
| 31806000 | FL | -- | |
| 4485 | GA | BSGA GROUP | |
| 197742702A | GA | -- | |
| 30703300 | FL | -- | |
| 38374 | FL | BSFL GROUP |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Southeastern Pathology Associates Pc by the Centers for Medicare & Medicaid Services?
The Southeastern Pathology Associates Pc has been assigned the NPI (National Provider Identifier) 1821104704 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Southeastern Pathology Associates Pc located?
The Southeastern Pathology Associates Pc is located at 203 Indigo Dr, Brunswick, GA 315256865.
What is the Southeastern Pathology Associates Pc's area of specialization and corresponding taxonomy classification?
The Southeastern Pathology Associates Pc's specialty field is Clinical Medical Laboratory, and it falls under the taxonomy code 291U00000X, which categorizes healthcare providers based on their specialties.
On what date did the Southeastern Pathology Associates Pc receive the assignment of its 1821104704 from the Centers for Medicare & Medicaid Services?
The Southeastern Pathology Associates Pc was issued its 1821104704 by the Centers for Medicare & Medicaid Services on 2006-08-22.
As of what date were the details pertaining to Southeastern Pathology Associates Pc last refreshed?
The information related to the Southeastern Pathology Associates Pc, including its address, specialty, and other relevant details, was last updated on 2021-10-26.