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NPI Code Detail

MEDICARE: MISSION PATHOLOGY CONSULTANTS, INC.

MEDICARE: MISSION PATHOLOGY CONSULTANTS, 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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3CP8012OTHERCARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2ZZZ42967ZOTHERCABLUE SHIELD OF CA

General Provider Information

NPI Number : 1356409379
Entity Type Code : Organization
Provider Name (Legal Business Name) : MISSION PATHOLOGY CONSULTANTS, INC.
Provider Business Mailing Address
First Line : PO BOX 24272
Second Line :
City : SEATTLE
State : WA
Zip : 98124-0272
Country : US
Telephone Number : 314-849-3535
Fax Number :
Provider Business Practice Location Address
First Line : 400 W PUEBLO ST
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93105-4353
Country : US
Telephone Number : 805-569-7367
Fax Number : 805-569-8354
Authorized Official
Title or Position : PRESIDENT
Name : EMILY WATERHOUSE
Credential : MD
Telephone Number : 805-569-7367
Provider Enumeration Date : 12/04/2006
Last Update Date : 04/08/2026

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Directions to “MISSION PATHOLOGY CONSULTANTS, INC. ” Practice Location

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