MEDICARE: WPM PATHOLOGY LABORATORY CHARTERED

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	291U00000X	Clinical Medical Laboratory
2	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	17DO648347	OTHER	KS	CLIA
2	17D2273617	OTHER	KS	CLIA
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	17D0449919	OTHER	KS	CLIA

General Provider Information

NPI Number	:	1861469561
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WPM PATHOLOGY LABORATORY CHARTERED

Provider Business Mailing Address
First Line	:	338 N FRONT ST
Second Line	:
City	:	SALINA
State	:	KS
Zip	:	67401-2038
Country	:	US
Telephone Number	:	785-823-7201
Fax Number	:	785-823-7185

Provider Business Practice Location Address
First Line	:	338 N FRONT ST
Second Line	:
City	:	SALINA
State	:	KS
Zip	:	67401-2027
Country	:	US
Telephone Number	:	785-823-7201
Fax Number	:	785-823-7185

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	SHELLY GASKILL
Credential	:
Telephone Number	:	785-823-7201

Provider Enumeration Date	:	03/02/2006
Last Update Date	:	03/03/2026

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