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Organization
MAWD PATHOLOGY GROUP INC
Active
Organization
MAWD PATHOLOGY GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ERIC EWING (CEO)
(636) 699-6027
Entity
Organization
Contact information
Practice address
9705 LENEXA DR, LENEXA, KS 66215-1345
(913) 396-8509
(913) 318-8378
Mailing address
9705 LENEXA DR, LENEXA, KS 66215-1345
(913) 396-8509
(913) 318-8378
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
26D0652254
MO
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100213310A
—
KS
05
—
200790300
—
OK
05
—
30003897540026
—
KS
05
—
500077334
—
MO
01
—
690077079
MEDICARE - RAILROAD
MO
05
—
700717119
—
MO
01
—
C50355
MEDICARE - RAILROAD
MO
Enumeration date
10/18/2005
Last updated
08/21/2026
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