CIMARRON PATHOLOGY PA
NPI 1629049648
Clinical Medical Laboratory in Liberal, KS

Active since January 28, 2006
1436 N WESTERN AVE, LIBERAL, KS 67901(620) 626-8500 Get Directions Write a Review

NPPES record last updated: July 29, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cimarron Pathology Pa NPPES

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

CIMARRON PATHOLOGY PA (NPI 1629049648) is a healthcare organization registered as a clinical medical laboratory in Liberal, Kansas and active in the NPI registry since January 2006. The organization lists Hubert Peterson, President, as its authorized official.

NPPES Registry Identity

NPI1629049648
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameCIMARRON PATHOLOGY PA
Location Address1436 N WESTERN AVELiberal, KS 67901-2212
Mailing AddressPo Box 1699Wichita, KS 67201-1699 · (800) 475-6236
Organization SubpartNo
Authorized OfficialHubert PetersonPresident · (620) 626-8500
Enumeration DateJanuary 28, 2006
Last NPPES UpdateJuly 29, 2013
NPI 1629049648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
1436 N WESTERN AVE, Liberal, KS 67901

Other Identifiers 5

Other690009229Railroad Medicare
Medicare ID-Type Unspecified130243
Medicaid100757940AOK
Other130243KS · Bcbs
Medicaid100328010AKS

Other Providers at the Same Location NPPES

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

Pathology (Clinical Pathology/Laboratory Medicine)
1436 N WESTERN AVE
LIBERAL, KS 67901

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 Cimarron Pathology PA's NPI number?

The NPI number for Cimarron Pathology PA is 1629049648. It was assigned to this organization in the NPPES registry on January 28, 2006.

Where is Cimarron Pathology PA located?

Cimarron Pathology PA is located at 1436 N Western Ave, Liberal, KS 67901. The listed phone number is (620) 626-8500.

What is Cimarron Pathology PA'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 Cimarron Pathology PA was last updated on July 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.