NORTHERN UTAH PATHOLOGY PC – Anatomic Pathology & Clinical Pathology Physician, NPI 1053383141

NORTHERN UTAH PATHOLOGY PC is a healthcare provider. based in Logan, Utah. specializing in Anatomic Pathology & Clinical Pathology Physician. The NPI Number for NORTHERN UTAH PATHOLOGY PC is 1053383141

Main info

Organization
Name
NORTHERN UTAH PATHOLOGY PC
NPI
1053383141
Phone
(435) 716-5375
Address
1400 N 500 E
Authorized Official
DR. MATTHEW M KERSHISNIK PRESIDENT MD
Enumeration Date
3 February 2006
Last Update Date
7 January 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:20State licenses:0Digital endpointsOther names

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Provider Addresses for NORTHERN UTAH PATHOLOGY PC

  • 1400, North 500 East, Logan, Cache County, Utah, 84341, United States

    LOGAN, UT 843412455

    Phone: (435) 716-5375

    Fax: (843) 284-3401

    Type: Location

  • PO BOX 30309

    CHARLESTON, SC 294170309

    Phone: (843) 554-9300

    Fax: (843) 566-8780

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84341)

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Frequently asked questions

What NPI should I save for NORTHERN UTAH PATHOLOGY PC?
Save NPI 1053383141 if you need a stable reference for NORTHERN UTAH PATHOLOGY PC.
Is NORTHERN UTAH PATHOLOGY PC's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does NORTHERN UTAH PATHOLOGY PC treat or focus on?
Patients typically see NORTHERN UTAH PATHOLOGY PC under the specialty Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
Where is NORTHERN UTAH PATHOLOGY PC's primary listing?
We display Logan, Utah because that is what the record indicates for NORTHERN UTAH PATHOLOGY PC.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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