SOUTHERN OKLAHOMA PATHOLOGY ASSOC., INC.
NPI 1508978149
Pathology - Anatomic Pathology & Clinical Pathology in Ada, OK
About Southern Oklahoma Pathology Assoc., Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN OKLAHOMA PATHOLOGY ASSOC., INC. (NPI 1508978149) is a healthcare organization registered as an anatomic pathology & clinical pathology in Ada, Oklahoma and active in the NPI registry since August 2006. The organization lists John Wesley Mooring, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southern Oklahoma Pathology Assoc., Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Southern Oklahoma Pathology Assoc., Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Southern Oklahoma Pathology Assoc., Inc.'s NPI number?
The NPI number for Southern Oklahoma Pathology Assoc., Inc. is 1508978149. It was assigned to this organization in the NPPES registry on August 31, 2006.
Where is Southern Oklahoma Pathology Assoc., Inc. located?
Southern Oklahoma Pathology Assoc., Inc. is located at 421 N Monte Vista St, Ada, OK 74820. The listed phone number is (580) 332-9595.
What is Southern Oklahoma Pathology Assoc., Inc.'s specialty?
The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.
Is Southern Oklahoma Pathology Assoc., Inc. enrolled in Medicare?
Yes. Southern Oklahoma Pathology Assoc., Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southern Oklahoma Pathology Assoc., Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Pathology, reassign their Medicare billing to Southern Oklahoma Pathology Assoc., Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Southern Oklahoma Pathology Assoc., Inc. accept?
Health plans from Blue Cross and Blue Shield of Oklahoma list Southern Oklahoma Pathology Assoc., Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Southern Oklahoma Pathology Assoc., Inc. was last updated on August 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Southern Oklahoma Pathology Assoc., Inc. · NPI 1508978149
Anatomic Pathology & Clinical Pathology organization in Ada, Oklahoma. Organization record, active in the CMS NPPES registry since August 31, 2006.
## Identity
- **NPI:** 1508978149 (Entity type: Organization)
- **Enumerated:** August 31, 2006
- **Primary specialty:** Pathology - Anatomic Pathology & Clinical Pathology · taxonomy 207ZP0102X
- **Organization subpart:** No
- **Authorized official:** John Mooring, OWNER
## Practice location
- **Address:** 421 N MONTE VISTA ST, Ada, OK 74820-4609
- **Phone:** (580) 332-9595 · **Fax:** (580) 332-4921
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Pathology) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 28, 2023
- **Other identifiers:** Other CO5064 (OK); Medicaid 100758421B (OK)
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Source: [NPI Profile](https://npiprofile.com/npi/1508978149) · Data from the CMS NPPES public registry.