Hart Road Pathology SC
NPI 1740459072ActiveOrganization· Pathology, Clinical Pathology· Beloit, WI
Pathology, Clinical Pathology in Beloit, Wisconsin, registered in NPPES in February 2008. The authorized official on file is Deborah Jb Gustafson, Manager Patient Accounts. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1740459072 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 20, 2008 |
| Last updated in NPPES | Feb 20, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pathology, Clinical Pathology Primary | 207ZC0006X | 46411 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WI) |
|---|