Organization
HEARTLAND PATHOLOGY CONSULTANTS, PCS
Active
Parent organization
HEARTLAND PATHOLOGY CONSULTANTS, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEARTLAND PATHOLOGY CONSULTANTS, PC
Authorized official
MS. ROSIE J CHEADLE (BILLING SUPERVISOR)
(405) 705-0018
Entity
Organization
Contact information
Practice address
3509 FRENCH PARK DR, SUITE D, EDMOND, OK 73034-7296
(405) 705-0018
(405) 705-0029
Mailing address
PO BOX 26343, OKLAHOMA CITY, OK 73126-0343
(405) 705-0018
(405) 705-0029
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
16447
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100746640A
—
OK
Enumeration date
10/07/2008
Last updated
10/07/2008
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