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REDDING PATHOLOGISTS NPI 1093712689


NPI Information

NPI: 1093712689
Provider Name: REDDING PATHOLOGISTS

Doing Business As: SHASTA PATHOLOGY ASSOCIATES

Classification: Pathology - 207ZP0102X
Entity Type: Organization

Specialization: Anatomic Pathology & Clinical Pathology

CLIA Number: 05D0934580

Address:
2036 RAILROAD AVE
REDDING, CA
ZIP 96001
Phone: (530) 255-1000
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REDDING PATHOLOGISTS is an anatomic pathology and clinical pathology pathology in Redding, CA. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. REDDING PATHOLOGISTS NPI is 1093712689. The provider is registered as an organization entity type.
The provider Is Doing Business As Shasta Pathology Associates.

The provider's business location address is:

2036 RAILROAD AVE
REDDING, CA
ZIP 96001-801
Phone: (530) 255-1000
Fax: (530) 247-8259

The provider's authorized official is Tikoes A. Blankenberg .
The authorized official title is Partner and has the following contact phone number (530) 255-1000.

The CLIA number assigned to this NPI record is 05D0934580 - independent with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 6/28/2005 and was last updated on 1/16/2013.


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
1291U00000XClinical Medical LaboratoryCLF11395CALIFORNIANo
2207ZP0102XPathologyAnatomic Pathology & Clinical PathologyCLF00011395CALIFORNIAYes

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
1A50541MEDICARE UPINCALIFORNIA
2F18637MEDICARE UPINCALIFORNIA
3ZZZ23957ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
4ZZZ58543ZMEDICAIDCALIFORNIA
5E71334MEDICARE UPINCALIFORNIA
6E75699MEDICARE UPINCALIFORNIA
7H97770MEDICARE UPINCALIFORNIA

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

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