Provider Demographics
NPI:1831256007
Name:WORCESTER PATHOLOGISTS INC.
Entity type:Organization
Organization Name:WORCESTER PATHOLOGISTS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:STRAUBE
Authorized Official - Last Name:HARPER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-795-7525
Mailing Address - Street 1:33 HANCOCK HILL DR
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01609-1533
Mailing Address - Country:US
Mailing Address - Phone:508-795-7525
Mailing Address - Fax:978-466-2889
Practice Address - Street 1:60 HOSPITAL RD
Practice Address - Street 2:PATHOLOGY DEPT.
Practice Address - City:LEOMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01453-2205
Practice Address - Country:US
Practice Address - Phone:978-466-2860
Practice Address - Fax:978-466-2889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical PathologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA9764623Medicaid
MA98820201OtherNETWORK HEALTH
MA9764623Medicaid