Organization
SOUTHCENTRAL PATHOLOGY LABORATORY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL W ALDERSON DO (PRESIDENT)
(800) 288-8325
Entity
Organization
Contact information
Practice address
929 N SAINT FRANCIS ST, WICHITA, KS 67214-3821
(316) 268-5426
(316) 652-0340
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
Primary
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016357
BCBS
KS
05
—
100212820A
—
KS
01
—
CP8323
RAILROAD MEDICARE
KS
Enumeration date
01/21/2006
Last updated
10/11/2023
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