Organization
PATHOLOGY SERVICES PA
Active
Other names
Dermatopathology Diagnostics a division of Pathology Services PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID M BOREL MD (PRESIDENT MEDICAL DIRECTOR)
(785) 272-4783
Entity
Organization
Contact information
Practice address
5650 SW 29TH STREET, TOPEKA, KS 66614-2443
(785) 272-4783
(785) 272-4783
Mailing address
5650 SW 29TH STREET, TOPEKA, KS 66614-2443
(785) 272-4783
(785) 272-4783
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
0415028
KS
207ZD0900X
Dermatopathology (Pathology) Physician
0415028
KS
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0415028
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100212900A
—
KS
01
—
220010026
RR MEDICARE
—
Enumeration date
04/07/2006
Last updated
11/05/2012
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