Organization
PATHOLOGY LABORATORY ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARTHUR NEIL CROWSON MD (PRESIDENT)
(918) 744-2553
Entity
Organization
Contact information
Practice address
4142 S MINGO RD, TULSA, OK 74146-3632
(918) 744-2553
(918) 744-3482
Mailing address
4142 S MINGO RD, TULSA, OK 74146-3632
(918) 744-2553
(918) 744-3482
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
17D0967380
KS
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100216550B
—
KS
05
—
100734080A
—
OK
01
—
110532
KANSAS BLUE SHIELD
KS
Enumeration date
07/09/2006
Last updated
01/09/2023
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