Provider profile

Individual

Shawn Barrett Jackson

Pathology in Springfield, MO. NPI 1730258708, listed in the CMS NPI Registry since 11/06/2006. Bills Medicare.

NPI 1730258708Specialty PathologyEnumerated 11/06/2006
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Registry and Medicare facts

Practice location
1000 E Primrose St Ste 550, Springfield, MO 65807
CMS NPI Registry
Phone
(417) 269-4646
CMS NPI Registry
Specialty
Pathology
CMS NPI Registry
Subspecialty
Anatomic Pathology & Clinical Pathology
CMS NPI Registry
Enumeration date
11/06/2006
CMS NPI Registry
Bills Medicare
Yes
CMS Medicare 2024
Medicare patients
4,503 Part B
CMS Medicare 2024

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