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Southwest Pathology, Inc

Clinical Medical Laboratory in Tulsa, OK · enumerated 2006 · authorized official Melvin Van Boven, Authorized Official.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1356445969

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Registry record

Entity type Organization (Type 2)
Legal business name Southwest Pathology, Inc
Practice address 8803 S. 101st E. Ave, Suite 360, Tulsa, OK, 74133
Phone (918) 582-0001
Fax (918) 582-0003
Enumeration date Sep 12, 2006
Last updated in NPPES Aug 11, 2021

Taxonomy & classification

207ZP0102X Anatomic Pathology & Clinical Pathology Physician Allopathic & Osteopathic Physicians Secondary
291U00000X Clinical Medical Laboratory Laboratories Primary

Authorized official

Name Melvin Van Boven
Title Authorized Official
Phone (918) 582-0001

Other identifiers

Identifier Type State Issuer
100739510A Medicaid OK -
100245110A Medicaid KS -
703687004 Medicaid MO -
4033986 Other TN BLUECROSS BLUESHIELD
4033986 Other TN BLUE CROSS BLUE SHIELD
175079901 Other - DEPT OF LABOR

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Southwest Pathology, Inc?
NPPES lists Melvin Van Boven (Authorized Official) as the authorized official for this organization.
What is the NPI number for Southwest Pathology, Inc?
The NPI for Southwest Pathology, Inc is 1356445969, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-08-11.