NPI 1902068265
Southwest Pathology Associates LLC
Practice location
- Address
- 8803 S 101st E Ave, Tulsa, OK 74133
- Phone
- (918) 582-0001
- Fax
- (917) 582-0003
- Mailing address
- PO Box 26303, Oklahoma City, OK 73126-0303
Authorised official
- Name
- Melvin J. van Boven
- Title
- President
- Phone
- (918) 582-0001
Registered specialties
Anatomic Pathology & Clinical Pathology Physician
Primary
Registry record
- NPI
- 1902068265
- Entity type
- Organization
- NPI issued
- 27 Jun 2008
- Record last updated
- 12 Jun 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.