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Organization
WESTERN PATHOLOGY SERVICES PA
Active
Organization
WESTERN PATHOLOGY SERVICES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVA VACHAL MD (PRESIDENT)
(620) 272-2263
Entity
Organization
Contact information
Practice address
1610 E JOHNSON ST, GARDEN CITY, KS 67846-4746
(800) 475-6236
Mailing address
PO BOX 1876, WICHITA, KS 67201-1876
(316) 685-8428
(316) 652-0340
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014133
BCBS
KS
05
—
100212970A
—
KS
05
—
10722730A
—
OK
01
—
CU0440
RAILROAD MEDICARE
—
Enumeration date
03/07/2006
Last updated
03/25/2021
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