Healthcare Provider Details

I. General information

NPI: 1710176367
Provider Name (Legal Business Name): PATHOLOGY SERVICES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2007
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1931 W A ST
NORTH PLATTE NE
69101-4577
US

IV. Provider business mailing address

PO BOX 1289
NORTH PLATTE NE
69103-1289
US

V. Phone/Fax

Practice location:
  • Phone: 308-534-5244
  • Fax: 308-534-8718
Mailing address:
  • Phone: 308-534-5244
  • Fax: 308-534-0758

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: JESSICA M REAGAN
Title or Position: DIRECTOR OF RCM
Credential:
Phone: 541-278-4340