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Organization
HEARTLAND PATHOLOGY CONSULTANTS, PCS
Active
Organization
HEARTLAND PATHOLOGY CONSULTANTS, PCS
Active
Parent organization
HEARTLAND PATHOLOGY CONSULTANTS, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEARTLAND PATHOLOGY CONSULTANTS, PC
Authorized official
MS. ROSIE J CHEADLE (BILLING SUPERVISOR)
(405) 705-0018
Entity
Organization
Contact information
Practice address
3509 FRENCH PARK DR, SUITE D, EDMOND, OK 73034-7296
(405) 705-0018
(405) 705-0029
Mailing address
PO BOX 26343, OKLAHOMA CITY, OK 73126-0343
(405) 705-0018
(405) 705-0029
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
16447
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100746640A
—
OK
Enumeration date
10/07/2008
Last updated
10/07/2008
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