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CLIN-PATH PATHOLOGY NPI 1922079706


NPI Information

NPI: 1922079706
Provider Name: CLIN-PATH PATHOLOGY

Doing Business As: CLIN-PATH PATHOLOGY

Classification: Pathology - 207ZP0102X
Entity Type: Organization

Specialization: Anatomic Pathology & Clinical Pathology

CLIA Number: 03D1082546

Address:
424 S 56TH ST STE 110
PHOENIX, AZ
ZIP 85034
Phone: (602) 685-5211
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CLIN-PATH PATHOLOGY is an anatomic pathology and clinical pathology pathology in Phoenix, AZ. 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. CLIN-PATH PATHOLOGY NPI is 1922079706. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Clin-path Pathology.

The provider's business location address is:

424 S 56TH ST STE 110
PHOENIX, AZ
ZIP 85034-177
Phone: (602) 685-5211
Fax: (602) 685-5325

The provider's authorized official is Antoinette Lynne Dezorzi .
The authorized official title is Credentialing Director and has the following contact phone number (602) 685-5166.

The CLIA number assigned to this NPI record is 03D1082546 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/30/2006 and was last updated on 8/18/2020.


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
1207ZP0102XPathologyAnatomic Pathology & Clinical 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
1647787MEDICAIDARIZONA

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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