Provider Demographics
NPI:1740399682
Name:NATIONAL PATHOLOGY SERVICE INC
Entity Type:Organization
Organization Name:NATIONAL PATHOLOGY SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TED
Authorized Official - Middle Name:S
Authorized Official - Last Name:KUCZYNSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-281-9922
Mailing Address - Street 1:401 WOOD ST
Mailing Address - Street 2:STE 1102
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15222
Mailing Address - Country:US
Mailing Address - Phone:412-281-9922
Mailing Address - Fax:412-281-9939
Practice Address - Street 1:401 WOOD ST
Practice Address - Street 2:STE 1102
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15222
Practice Address - Country:US
Practice Address - Phone:412-281-9922
Practice Address - Fax:412-281-9939
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA021633291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
1886293OtherACCESS MED PLUS
GA00769304AOtherMEDICAID
2629230C2OtherOPTIMUM CHOICE
NC7001144OtherMEDICAID
OH0127946OtherMEDICAID
PA0012232520002Medicaid
NPA401152OtherUNIVERA HEALTHCARE
WV0225355000OtherMEDICAID
262923OtherMAMSI
56234OtherQUAL CHOICE
0004626129OtherAETNA
PA307163OtherBLUE CROSS OF WESTERN PA
KY37903689OtherMEDICAID
MI4729687OtherMEDICAID
SCL00111OtherMEDICAID
MI4729687OtherMEDICAID
PA307163Medicare ID - Type Unspecified