Cimarron Pathology PA
Cimarron Pathology PA is a healthcare organization registered as Clinical Medical Laboratory in Liberal, KS, holding Type 2 (organization) NPI 1629049648 since 2006. The authorized official on file is Hubert Peterson, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1629049648 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Cimarron Pathology PA |
| Practice address | 1436 N WESTERN AVE, Liberal, KS, 67901 |
| Phone | 6206268500 |
| Enumeration date | 2006-01-28 |
| Last updated in NPPES | 2013-07-29 |
Authorized official
| Name | Hubert Peterson |
|---|---|
| Title | President |
| Phone | 6206268500 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100757940A | Medicaid | OK | — |
| 690009229 | Other | — | RAILROAD MEDICARE |
| 130243 | Other | KS | BCBS |
| 100328010A | Medicaid | KS | — |
Copy-ready billing details
Provider: Cimarron Pathology PA NPI: 1629049648 Taxonomy: 291U00000X (Clinical Medical Laboratory) Address: 1436 N WESTERN AVE, Liberal, KS, 67901
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1891766812 | Hubert Peterson | Individual | Clinical Pathology/Laboratory Medicine Physician | Liberal, KS |
Verify this record
Cross-check NPI 1629049648 against the authoritative CMS record: view Cimarron Pathology PA on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Cimarron Pathology PA?
Who is the authorized official for Cimarron Pathology PA?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2013-07-29.