# MIDWEST PATHOLOGY SPECIALISTS PLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** None
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194789867
- **Authorized official:** DR. WAYNE PENKA MD (BILLING SPECIALIST)
- **Authorized official phone:** (402) 717-2875

## Contact information

- **Practice address:** 4955 F STREET, OMAHA, NE 68117
- **Practice address phone:** (402) 717-2875
- **Practice address fax:** (402) 717-5231
- **Mailing address:** PO BOX 4907, OMAHA, NE 68104
- **Mailing address phone:** (800) 831-2402
- **Mailing address fax:** (843) 569-8503

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZC0500X | Cytopathology Physician | — | NULL | — |
| 207ZC0500X | Cytopathology Physician | — | — | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/12/2006
- **Last updated:** 01/26/2015