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Organization
MIDWEST PATHOLOGY SPECIALISTS PLC
Active
Organization
MIDWEST PATHOLOGY SPECIALISTS PLC
Active
Other names
None
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE PENKA MD (BILLING SPECIALIST)
(402) 717-2875
Entity
Organization
Contact information
Practice address
4955 F STREET, OMAHA, NE 68117
(402) 717-2875
(402) 717-5231
Mailing address
PO BOX 4907, OMAHA, NE 68104
(800) 831-2402
(843) 569-8503
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
—
NULL
207ZC0500X
Cytopathology Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
NULL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
04/12/2006
Last updated
01/26/2015
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