# HEARTLAND PATHOLOGY CONSULTANTS, PCS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HEARTLAND PATHOLOGY CONSULTANTS, PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1578714721
- **Legal business name:** HEARTLAND PATHOLOGY CONSULTANTS, PC
- **Authorized official:** MS. ROSIE J CHEADLE (BILLING SUPERVISOR)
- **Authorized official phone:** (405) 705-0018

## Contact information

- **Practice address:** 3509 FRENCH PARK DR, SUITE D, EDMOND, OK 73034-7296
- **Practice address phone:** (405) 705-0018
- **Practice address fax:** (405) 705-0029
- **Mailing address:** PO BOX 26343, OKLAHOMA CITY, OK 73126-0343
- **Mailing address phone:** (405) 705-0018
- **Mailing address fax:** (405) 705-0029

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 16447 | OK | Yes |

## Other

- **Enumeration date:** 10/07/2008
- **Last updated:** 10/07/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100746640A | — | OK |