Submit Your NPI Information

You can submit your NPI information directly to North Central Pathology by selecting one of the following methods:

Fax Your NPI Information

You can fax your NPI information to North Central Pathology by downloading a copy of the NPI Fax Submission Form and faxing the completed form to (320) 253-1218. Download a copy of the NPI Fax Submission Form. For PDF documents, we recommend saving the file to your system by right clicking the file link and choosing "save as". This will allow for optimal viewing of the file in Acrobat Reader.

Email Your NPI Information

You can email your NPI information to North Central Pathology by completing the form below:


Your First and Last Name *
Your Referring Provider's First and Last Name *
UPIN# *
NPI# *
Please type the letters and numbers shown in the image.
 Captcha Code
 

*Note: If you have multiple providers and would like to provide their information in a file format such as Microsoft Excel, please email the files as an attachment to Mary Francois at mary@ncpath.com.

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