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PEDIATRIC PATHOLOGY ASSOCIATES NPI 1043319742


NPI Information

NPI: 1043319742
Provider Name: PEDIATRIC PATHOLOGY ASSOCIATES
Classification: Pathology - 207ZP0213X
Entity Type: Organization

Specialization: Pediatric Pathology

Address:
100 N MEDICAL DR
PATHOLOGY
SALT LAKE CITY, UT
ZIP 84113
Phone: (801) 588-3165
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PEDIATRIC PATHOLOGY ASSOCIATES is a pediatric pathology pathology in Salt Lake City, UT. The provider is a pediatric pathologist is expert in the laboratory diagnosis of diseases that occur during fetal growth, infancy and child development. The practice requires a strong foundation in general pathology and substantial understanding of normal growth and development, along with extensive knowledge of pediatric medicine. PEDIATRIC PATHOLOGY ASSOCIATES NPI is 1043319742. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

100 N MEDICAL DR
PATHOLOGY
SALT LAKE CITY, UT
ZIP 84113-103
Phone: (801) 588-3165
Fax: (801) 588-3169

The provider's authorized official is Cheryl M Coffin .
The authorized official title is Division Head-pediatric Pathology and has the following contact phone number (801) 588-3165.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 9/7/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ZB0001XPathologyBlood Banking & Transfusion MedicineNo
2207ZC0500XPathologyCytopathologyNo
3207ZD0900XPathologyDermatopathologyNo
4207ZF0201XPathologyForensic PathologyNo
5207ZH0000XPathologyHematologyNo
6207ZI0100XPathologyImmunopathologyNo
7207ZM0300XPathologyMedical MicrobiologyNo
8207ZP0101XPathologyAnatomic PathologyNo
9207ZP0102XPathologyAnatomic Pathology & Clinical PathologyNo
10207ZP0104XPathologyChemical PathologyNo
11207ZP0105XPathologyClinical Pathology/Laboratory MedicineNo
12207ZP0213XPathologyPediatric PathologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1807250500MEDICAIDIDAHO
2100502354MEDICAIDNEVADA
3=========000MEDICAIDUTAH
4118430000MEDICAIDWYOMING
5000058075MEDICARE ID-TYPE UNSPECIFIEDUTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.