Provider Demographics
NPI:1720048556
Name:NORTH PATHOLOGY ASSOCIATES PLLP
Entity Type:Organization
Organization Name:NORTH PATHOLOGY ASSOCIATES PLLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUE
Authorized Official - Middle Name:E
Authorized Official - Last Name:SCHLAFMANN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:877-861-9294
Mailing Address - Street 1:NW 6164
Mailing Address - Street 2:PO BOX 1450
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55485-6164
Mailing Address - Country:US
Mailing Address - Phone:877-861-9294
Mailing Address - Fax:
Practice Address - Street 1:3300 OAKDALE AVE N
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55422-2926
Practice Address - Country:US
Practice Address - Phone:763-520-5521
Practice Address - Fax:763-520-1721
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-24
Last Update Date:2011-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical PathologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN672217200Medicaid
89A31NOOtherBLUE CROSS BLUE SHIELD MN
MNC02486Medicare ID - Type Unspecified