SOUTHWEST PATHOLOGY, INC
NPI 1356445969
Clinical Medical Laboratory in Tulsa, OK

Active since September 12, 2006
8803 S. 101ST E. AVE, SUITE 360, TULSA, OK 74133(918) 582-0001(918) 582-0003 Get Directions Write a Review

NPPES record last updated: August 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 11, 2021, Apr 21, 2020, Apr 16, 2020 (3 updates tracked since 2020).

About Southwest Pathology, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHWEST PATHOLOGY, INC (NPI 1356445969) is a healthcare organization registered as a clinical medical laboratory in Tulsa, Oklahoma and active in the NPI registry since September 2006. The organization lists Melvin J Van Boven, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1356445969
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameSOUTHWEST PATHOLOGY, INC
Location Address8803 S. 101ST E. AVE, SUITE 360Tulsa, OK 74133
Mailing AddressPo Box 26303Oklahoma City, OK 73126-0303 · (918) 582-0001 · Fax (918) 582-0003
Fax(918) 582-0003
Organization SubpartNo
Authorized OfficialMelvin J Van BovenAuthorized Official · (918) 582-0001
Enumeration DateSeptember 12, 2006
Last NPPES UpdateAugust 11, 20213 updates tracked since enumeration
NPPES CertifiedAugust 11, 2021
NPI 1356445969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
8803 S. 101ST E. AVE, Tulsa, OK 74133

Other Identifiers 6

Medicaid703687004MO
Medicaid100245110AKS
Medicaid100739510AOK
Other4033986TN · Blue Cross Blue Shield
Other175079901Dept Of Labor
Other4033986TN · Bluecross Blueshield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pathology (Anatomic Pathology & Clinical Pathology)
8803 S. 101ST E. AVE, SUITE 360
TULSA, OK 74133
Pathology (Anatomic Pathology & Clinical Pathology)
8803 S. 101ST E. AVE, SUITE 360
TULSA, OK 74133
Family Medicine
8803 S. 101ST E. AVE, 370
TULSA, OK 74133

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southwest Pathology, Inc's NPI number?

The NPI number for Southwest Pathology, Inc is 1356445969. It was assigned to this organization in the NPPES registry on September 12, 2006.

Where is Southwest Pathology, Inc located?

Southwest Pathology, Inc is located at 8803 S. 101st E. Ave Suite 360, Tulsa, OK 74133. The listed phone number is (918) 582-0001.

What is Southwest Pathology, Inc's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

When was this NPI record last updated?

The NPPES record for Southwest Pathology, Inc was last updated on August 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.