Provider Type Icon

MAWD PATHOLOGY GROUP PA NPI 1033108519


NPI Information

NPI: 1033108519
Provider Name: MAWD PATHOLOGY GROUP PA
Classification: Pathology - 207ZP0102X
Entity Type: Organization

Specialization: Anatomic Pathology & Clinical Pathology

CLIA Number: 17D2154812

Address:
9705 LENEXA DR
LENEXA, KS
ZIP 66215
Phone: (913) 396-8509
Get Directions

MAWD PATHOLOGY GROUP PA is an anatomic pathology and clinical pathology pathology in Lenexa, KS. The provider is 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. MAWD PATHOLOGY GROUP PA NPI is 1033108519. The provider is registered as an organization entity type.

The provider's business location address is:

9705 LENEXA DR
LENEXA, KS
ZIP 66215-345
Phone: (913) 396-8509
Fax: (913) 495-9743

The provider's authorized official is Jeff W Wilson .
The authorized official title is General Manager and has the following contact phone number (913) 396-8509.

The CLIA number assigned to this NPI record is 17D2154812 - independent with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/18/2005 and was last updated on 7/15/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1291U00000XClinical Medical LaboratoryNo
2207ZP0102XPathologyAnatomic Pathology & Clinical Pathology26D0652254MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C50355OTHERMISSOURIMEDICARE - RAILROAD
2100213310AMEDICAIDKANSAS
3700717119MEDICAIDMISSOURI
4690077079OTHERMISSOURIMEDICARE - RAILROAD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.