Organization
LAKELAND PATHOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS UNCINI M.D. (OWNER)
(218) 312-3002
Entity
Organization
Contact information
Practice address
750 E 34TH ST, HIBBING, MN 55746-2341
(218) 312-3002
(218) 312-3003
Mailing address
1200 E 25TH STREET, HIBBING, MN 55746-2341
(218) 312-3002
(218) 312-3003
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
29005
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14784LA
BLUE CROSS BLUE SHIELD
MN
05
—
979273200
—
MN
01
—
CS4970
RAILROAD MEDICARE
MN
Enumeration date
03/07/2007
Last updated
10/20/2010
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