PROFESSIONAL PATHOLOGY SERVICES PC – NPI #1083784177
Pathology

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

PROFESSIONAL PATHOLOGY SERVICES PC is a pathologist located in CLOVIS, NM. NPPES has assigned the NPI number 1083784177 to PROFESSIONAL PATHOLOGY SERVICES PC on November 08, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207ZP0102X from the Health Care Provider Taxonomy code set, which is classified as Pathology, specializing in Anatomic Pathology & Clinical Pathology

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PROFESSIONAL PATHOLOGY SERVICES PC below.

NPI Profile for
PROFESSIONAL PATHOLOGY SERVICES PC

NPI Number
1083784177
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PROFESSIONAL PATHOLOGY SERVICES PC
Primary location
2100 N MLK BLVD
PLAINS REGIONAL MEDICAL CENTER
CLOVIS, NM 88101
Phone: (505) 769-7257 Fax: (505) 769-7243
Mailing address
417 INNSDALE TERRACE
APT B
CLOVIS, NM 88101
Phone: (505) 762-0824 Fax: (505) 769-7243
Organization Subpart
No
Authorized Official
JOHN HARRIS
PRESIDENT PROFESSIONAL PATHOLOGY SE
Phone: (505) 769-7257
Updated
Identifiers

Identifiers for PROFESSIONAL PATHOLOGY SERVICES PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNM16545
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207ZP0102X
- Pathology / Anatomic Pathology & Clinical Pathology (Primary)
WY 2272A

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.