Organization
HEARTLAND PATHOLOGY CONSULTANTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSIE J CHEADLE (BILLING SUPERVISOR)
(405) 705-2644
Entity
Organization
Contact information
Practice address
2701 COLTRANE PL STE 3, EDMOND, OK 73034-6783
(405) 715-4500
(405) 715-4519
Mailing address
PO BOX 26343, OKLAHOMA CITY, OK 73126-0343
(405) 705-0018
(405) 705-0029
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100746640A
—
OK
Enumeration date
07/04/2006
Last updated
12/08/2021
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