Organization
PATHOLOGY CONSULTANTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WARD FREDRICKSON (PRESIDENT)
(701) 222-2480
Entity
Organization
Contact information
Practice address
3502 FRANKLIN AVE, BISMARCK, ND 58503-0761
(701) 222-2480
(701) 222-4537
Mailing address
3502 FRANKLIN AVE, BISMARCK, ND 58503-0761
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
35D0408903
—
207ZC0500X
Cytopathology Physician
35D2002387
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35D2002387
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10016
—
ND
01
—
CO4118
RR MEDICARE
ND
01
—
ND00559
BLUE SHIELD
ND
Enumeration date
11/09/2005
Last updated
03/29/2024
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