Organization
PATHOLOGY SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANNA J BROUILLETTE (GENERAL MANAGER)
(308) 532-4700
Entity
Organization
Contact information
Practice address
1931 W A ST, NORTH PLATTE, NE 69101-4577
(308) 532-4700
(308) 534-0534
Mailing address
PO BOX 1289, NORTH PLATTE, NE 69103-1289
(308) 532-4700
(308) 534-0534
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100174100B
—
KS
05
—
1811982549
—
IA
05
—
5580030
—
SD
05
—
98000912
—
CO
Enumeration date
09/19/2005
Last updated
10/22/2025
Update your record
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