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Summit Pathology

Pathology, Anatomic Pathology & Clinical Pathology in Cheyenne, WY. Organization (NPI-2).

NPI number1164020715
StatusActive
Last updated in NPPESOct 15, 2020

Details

NPI
1164020715
Entity type
Organization (NPI-2)
Legal business name
Summit Pathology
Organization subpart
No
Enumeration date
Oct 15, 2020
Certification date
Oct 15, 2020
Last updated
Oct 15, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology––Yes
207ZB0001X Pathology, Blood Banking & Transfusion Medicine––
207ZH0000X Pathology, Hematology––

Practice location

2301 House Ave Ste 108
Cheyenne, WY 82001-3177

Phone 307-274-3057

Mailing address

Po Box 913258
Denver, CO 80291-3258

Phone 970-212-0530

Authorized official

Jeff Christinson
Ceo
9702120557

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