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

Southern Oklahoma Pathology Assoc , Inc

Organization Anatomic Pathology & Clinical Pathology Physician · NPI 1508978149

Southern Oklahoma Pathology Assoc , Inc is an Anatomic Pathology & Clinical Pathology Physician in Ada, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2006.

Licensed in
OK
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

421 N Monte Vista St
Ada, OK 74820-4609
Phone: (580) 332-9595
Fax: (580) 332-4921
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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 · Licence 8286 (OK)

Record details

NPI number1508978149
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Mooring — Owner · (800) 288-8325
NPI enumeratedAugust 31, 2006
Last updated in NPPESAugust 28, 2023
Certification dateAugust 28, 2023
Mailing address421 N Monte Vista St, Pathology Department, Ada, OK 74820-4609

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