Provider Demographics
NPI:1891895926
Name:ASSOCIATED PATHOLOGISTS OF NEBRASKA, P.C.
Entity type:Organization
Organization Name:ASSOCIATED PATHOLOGISTS OF NEBRASKA, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MATTHIAS
Authorized Official - Middle Name:I
Authorized Official - Last Name:OKOYE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:402-486-3447
Mailing Address - Street 1:PO BOX 30141
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68103-1241
Mailing Address - Country:US
Mailing Address - Phone:308-647-4900
Mailing Address - Fax:308-647-5378
Practice Address - Street 1:600 S 70TH ST
Practice Address - Street 2:THIRD FLOOR
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-2451
Practice Address - Country:US
Practice Address - Phone:402-486-3447
Practice Address - Fax:402-486-3477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical PathologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10024974000Medicaid
NE099346Medicare ID - Type Unspecified