Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
CENTRAL REGIONAL PATHOLOGY LABORATORIES PA
Active
Organization
CENTRAL REGIONAL PATHOLOGY LABORATORIES PA
Active
Other names
University Park Pathologists
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE LEMIEUX (BUSINESS OFFICE MANAGER)
(651) 264-1521
Entity
Organization
Contact information
Practice address
2945 HAZELWOOD STREET, SUITE 310, MAPLEWOOD, MN 55109-1244
(651) 264-1521
(651) 264-1661
Mailing address
2945 HAZELWOOD STREET, SUITE 310, MAPLEWOOD, MN 55109
(651) 264-1521
(651) 264-1661
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
PF169
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C01224
UPP MEDICARE GRP
MN
Enumeration date
05/15/2006
Last updated
06/04/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up