Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northern Utah Pathology PC

Organization Anatomic Pathology & Clinical Pathology Physician · NPI 1053383141

Northern Utah Pathology PC is an Anatomic Pathology & Clinical Pathology Physician in Logan, Utah. Licensed in Utah. Registered with an NPI since 2006.

Licensed in
UT
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1400 N 500 E
Logan, UT 84341-2455
Phone: (435) 716-5375
Fax: (843) 284-3401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X (UT)

Record details

NPI number1053383141
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Kershisnik — President · (435) 716-5375
NPI enumeratedFebruary 3, 2006
Last updated in NPPESJanuary 7, 2008
Mailing addressPo Box 30309, Charleston, SC 29417-0309

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