Organization
PATHOLOGY MEDICAL SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA RUST (EXECUTIVE DIRECTOR)
(402) 465-1957
Entity
Organization
Contact information
Practice address
5440 SOUTH ST, SUITE 200, LINCOLN, NE 68506-2192
(402) 465-1900
(402) 465-1940
Mailing address
PO BOX 82653, LINCOLN, NE 68501-2653
(402) 465-1900
(402) 465-1940
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025160800
—
NE
01
—
1816
BCBS GROUP NUMBER
NE
Enumeration date
12/19/2006
Last updated
08/27/2024
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