Healthcare Provider Details

I. General information

NPI: 1649148040
Provider Name (Legal Business Name): USA PATHOLOGY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2025
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 W UNIVERSITY BLVD
DURANT OK
74701-3006
US

IV. Provider business mailing address

5052 W 4TH ST STE 3
HATTIESBURG MS
39402-1069
US

V. Phone/Fax

Practice location:
  • Phone: 601-261-2587
  • Fax: 601-264-7426
Mailing address:
  • Phone: 601-261-2587
  • Fax: 601-264-7426

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number
License Number State

VIII. Authorized Official

Name: KURT KRATZ
Title or Position: OWNER
Credential: MD
Phone: 601-261-2587