Provider Demographics
NPI:1346300738
Name:THE PATHOLOGY ASSOCIATES, P.A.
Entity Type:Organization
Organization Name:THE PATHOLOGY ASSOCIATES, P.A.
Other - Org Name:THE PATHOLOGY ASSOCIATES, P.A.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:CHERI
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:AUBERTINE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:207-629-7162
Mailing Address - Street 1:1180 LISBON ST STE 3
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:ME
Mailing Address - Zip Code:04240-5059
Mailing Address - Country:US
Mailing Address - Phone:207-782-0436
Mailing Address - Fax:207-782-0867
Practice Address - Street 1:35 MEDICAL CENTER PKWY
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:ME
Practice Address - Zip Code:04330-8160
Practice Address - Country:US
Practice Address - Phone:207-626-1409
Practice Address - Fax:207-626-1046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-08
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical PathologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME1044151OtherUNITED HEALTHCARE
ME1044151OtherAETNA
ME152669OtherUNIVERSAL HEALTHCARE
MEH0072OtherANTHEM
ME134630078Medicaid
ME176211OtherTUFTS
MEM55180OtherCIGNA
ME1044151OtherUNITED HEALTHCARE
MEH0072OtherANTHEM