# SUSQUEHANNA PATHOLOGY AND LABORATORY CONSULTANTS, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396728648
- **Authorized official:** DR. HUSAM HAMATI MD (MD)
- **Authorized official phone:** (570) 759-5000

## Contact information

- **Practice address:** 701 E 16TH ST, BERWICK, PA 18603-2316
- **Practice address phone:** (570) 288-8881
- **Practice address fax:** (570) 288-8065
- **Mailing address:** PO BOX 1645, KINGSTON, PA 18704-0645
- **Mailing address phone:** (570) 288-8881
- **Mailing address fax:** (570) 288-8065

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZC0500X | Cytopathology Physician | — | NULL | — |
| 207ZC0500X | Cytopathology Physician | — | — | — |
| 207ZD0900X | Dermatopathology (Pathology) Physician | — | NULL | — |
| 207ZD0900X | Dermatopathology (Pathology) Physician | — | — | — |
| 207ZH0000X | Hematology (Pathology) Physician | — | NULL | — |
| 207ZH0000X | Hematology (Pathology) Physician | — | — | — |
| 207ZI0100X | Immunopathology Physician | — | NULL | — |
| 207ZI0100X | Immunopathology Physician | — | — | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | Yes |
| 207ZP0105X | Clinical Pathology/Laboratory Medicine Physician | — | NULL | — |
| 207ZP0105X | Clinical Pathology/Laboratory Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 11/21/2005
- **Last updated:** 07/14/2021