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NPI Code Detail

MEDICARE: MAWD PATHOLOGY GROUP INC

MEDICARE: MAWD PATHOLOGY GROUP INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1291U00000XClinical Medical Laboratory
2207ZP0102XAnatomic Pathology & Clinical Pathology Physician26D0652254MO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2C50355OTHERMOMEDICARE - RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033108519
Entity Type Code : Organization
Provider Name (Legal Business Name) : MAWD PATHOLOGY GROUP INC
Provider Business Mailing Address
First Line : 9705 LENEXA DR
Second Line :
City : LENEXA
State : KS
Zip : 66215-1345
Country : US
Telephone Number : 913-396-8509
Fax Number : 913-318-8378
Provider Business Practice Location Address
First Line : 9705 LENEXA DR
Second Line :
City : LENEXA
State : KS
Zip : 66215-1345
Country : US
Telephone Number : 913-396-8509
Fax Number : 913-318-8378
Authorized Official
Title or Position : CEO
Name : DAVID ERIC EWING
Credential :
Telephone Number : 636-699-6027
Provider Enumeration Date : 10/18/2005
Last Update Date : 05/13/2026

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Directions to “MAWD PATHOLOGY GROUP INC ” Practice Location

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