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CARSON-TAHOE PATHOLOGY DRS JACK & DOBERNECK LTD NPI 1104971183


NPI Information

NPI: 1104971183
Provider Name: CARSON-TAHOE PATHOLOGY DRS JACK & DOBERNECK LTD

Former Legal Business Name: DBA CARSON-TAHOE PATHOLOGY, LTD

Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization

CLIA Number: 29D0680086

Address:
1600 MEDICAL PKWY
CARSON CITY, NV
ZIP 89703
Phone: (775) 445-8502
Get Directions

CARSON-TAHOE PATHOLOGY DRS JACK & DOBERNECK LTD is a clinical medical laboratory in Carson City, NV. The provider is (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. CARSON-TAHOE PATHOLOGY DRS JACK & DOBERNECK LTD NPI is 1104971183. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Dba Carson-tahoe Pathology, Ltd.

The provider's business location address is:

1600 MEDICAL PKWY
CARSON CITY, NV
ZIP 89703-625
Phone: (775) 445-8502
Fax: (775) 888-4448

The provider's authorized official is Elizabeth Jack .
The authorized official title is Partner and has the following contact phone number (775) 445-8502.

The CLIA number assigned to this NPI record is 29D0680086 - independent with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/23/2007 and was last updated on 12/18/2018.


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 Laboratory5089NEVADAYes

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: 11/14/2023

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