| Organization Name: | HEARTLAND PATHOLOGY CONSULTANTS, PCS |
| NPI Number: | 1578714721 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROSIE J CHEADLE (BILLING SUPERVISOR) |
| Mailing Address: | 3509 French Park Dr Suite D Edmond |
| State: | OK US |
| Postal Code: | 730347296 |
| Phone Number: | 4057050018 |
| Fax Number: | 4057050029 |
| NPI Enumeration Date: | 10/07/2008 |
| NPI Last Update Date: | 10/07/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 16447 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |