SOUTHEASTERN PATHOLOGY, P.C.
NPI 1407188345
Pathology - Anatomic Pathology & Clinical Pathology in Rome, GA

Active since February 03, 2010CLIA 11D0256839 · Accreditation
311 W 8TH ST NE, ROME, GA 30165(706) 291-8702(706) 291-6514 Get Directions Write a Review

NPPES record last updated: February 3, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southeastern Pathology, P.c. NPPES

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

SOUTHEASTERN PATHOLOGY, P.C. (NPI 1407188345) is a healthcare organization registered as an anatomic pathology & clinical pathology in Rome, Georgia and active in the NPI registry since February 2010. The organization holds an CLIA Accreditation certificate valid through March 24, 2027 and lists Tina G Burkhalter, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1407188345
Entity TypeOrganization
Primary Taxonomy207ZP0102X
Legal Business NameSOUTHEASTERN PATHOLOGY, P.C.
Location Address311 W 8TH ST NERome, GA 30165-2723
Mailing Address311 W 8th St NeRome, GA 30165-2723 · (706) 291-8702 · Fax (706) 291-6514
Fax(706) 291-6514
Organization SubpartNo
Authorized OfficialTina G BurkhalterOffice Manager · (706) 314-0120
Enumeration DateFebruary 3, 2010
NPI 1407188345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in GA · 11D0256839
Definition
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.
Also ListedPathology · CytopathologyTaxonomy 207ZC0500X · License 11D0256839 (GA)
Also ListedPathology · DermatopathologyTaxonomy 207ZD0900X · License 11D0256839 (GA)
311 W 8TH ST NE, Rome, GA 30165

Other Identifiers 2

Medicare PIN65013369LAGA
Medicaid530200720AL

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 MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 11D0256839

Southeastern Pathology PC · Rome, GA
Active · expires Mar 24, 2027
CLIA Number11D0256839
Laboratory TypeIndependent
Certificate Effective DateMarch 25, 2025
Certificate Expiration DateMarch 24, 2027
Laboratory DirectorDr. Christopher J. Kligora
Laboratory Phone(706) 291-2430
Laboratory LocationSoutheastern Pathology PC311 West Eighth Street NW, Rome, GA 30165
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 7

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

Pathology (Anatomic Pathology & Clinical Pathology)
311 W 8TH ST NE
ROME, GA 30165
Pathology (Anatomic Pathology & Clinical Pathology)
311 W 8TH ST NE
ROME, GA 30165
Pathology (Anatomic Pathology & Clinical Pathology)
311 W 8TH ST NE
ROME, GA 30165
Pathology (Anatomic Pathology & Clinical Pathology)
311 W 8TH ST NE
ROME, GA 30165
Pathology (Anatomic Pathology & Clinical Pathology)
311 W 8TH ST NE
ROME, GA 30165
Pathology (Anatomic Pathology & Clinical Pathology)
311 W 8TH ST NE
ROME, GA 30165
Pathology (Anatomic Pathology & Clinical Pathology)
311 W 8TH ST NE
ROME, GA 30165

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 Southeastern Pathology, P.C.'s NPI number?

The NPI number for Southeastern Pathology, P.C. is 1407188345. It was assigned to this organization in the NPPES registry on February 3, 2010.

Where is Southeastern Pathology, P.C. located?

Southeastern Pathology, P.C. is located at 311 W 8th St NE, Rome, GA 30165. The listed phone number is (706) 291-8702.

What is Southeastern Pathology, P.C.'s specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Does Southeastern Pathology, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 11D0256839) is associated with this NPI, valid through March 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Southeastern Pathology, P.C. was last updated on February 3, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.