MEDICARE: PATHOLOGY SERVICES PA

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
1	207ZD0900X	Dermatopathology (Pathology) Physician	0415028	KS
2	207ZC0500X	Cytopathology Physician	0415028	KS
3	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	0415028	KS

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	220010026	OTHER		RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427011907
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PATHOLOGY SERVICES PA

Provider Business Mailing Address
First Line	:	5650 SW 29TH STREET
Second Line	:
City	:	TOPEKA
State	:	KS
Zip	:	66614-2443
Country	:	US
Telephone Number	:	785-272-4783
Fax Number	:	785-272-4783

Provider Business Practice Location Address
First Line	:	5650 SW 29TH STREET
Second Line	:
City	:	TOPEKA
State	:	KS
Zip	:	66614-2443
Country	:	US
Telephone Number	:	785-272-4783
Fax Number	:	785-272-4783

Authorized Official
Title or Position	:	PRESIDENT MEDICAL DIRECTOR
Name	:	DR. DAVID M BOREL
Credential	:	MD
Telephone Number	:	785-272-4783

Provider Enumeration Date	:	04/07/2006
Last Update Date	:	11/05/2012

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Practice Location Address:

5640 SW 29TH ST
TOPEKA, KS
66614-2443

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1558368746 — DAVID M BOREL MD
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5650 SW 29TH ST
TOPEKA, KS
66614-2443

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5648 SW 29TH ST
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1841594637 — PEAK PHYSICAL THERAPY PA
Practice Location Address:

5614 SW 29TH ST
TOPEKA, KS
66614-2443

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1164856662 — ACHIEVE SERVICES, LLC
Practice Location Address:

5646 SW 29TH ST
TOPEKA, KS
66614-2443

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Practice Fax:

1508721291 — TERESA CASTELLO CERTIFIED LIGHT THER
Practice Location Address:

5658 SW 29TH ST
TOPEKA, KS
66614-2443

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Directions to “PATHOLOGY SERVICES PA ” Practice Location

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