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1124317771 NPI number — ADVANCED PATHOLOGY, PC

NPI Number: 1124317771
Health Care Provider/Practitioner: ADVANCED PATHOLOGY, PC

Information about “1124317771” NPI (ADVANCED PATHOLOGY, PC) exists in 1124317771 in HTML format HTML  |  1124317771 in plain Text format TXT  |  1124317771 in PDF (Portable Document Format) PDF  |  1124317771 in an XML format XML  formats.

NPI Number : 1124317771 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1124317771",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "JOY A. SNELL MD, INC",
    "ParentOrgTIN": null,
    "OrgName": "ADVANCED PATHOLOGY, PC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 25016",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OKLAHOMA CITY",
    "MailingAddressStateName": "OK",
    "MailingAddressPostalCode": "73125-0016",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "580-536-7400",
    "MailingAddressFaxNumber": "580-536-7402",
    "FirstLinePracticeLocationAddress": "5405 DAUN",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LAWTON",
    "PracticeLocationAddressStateName": "OK",
    "PracticeLocationAddressPostalCode": "73505-8508",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "580-536-7400",
    "PracticeLocationAddressFaxNumber": "580-536-7402",
    "EnumerationDate": "04/05/2011",
    "LastUpdateDate": "04/05/2011",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SNELL",
    "AuthorizedOfficialFirstName": "JOY",
    "AuthorizedOfficialMiddleName": "A",
    "AuthorizedOfficialTitle": "LAB DIRECTOR",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "580-536-7400",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "291U00000X",
        "TaxonomyName": "Clinical Medical Laboratory",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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