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CLIN-PATH DIAGNOSTICS LLC NPI 1154350932


NPI Information

NPI: 1154350932
Provider Name: CLIN-PATH DIAGNOSTICS, LLC
Classification: Pathology - 207ZP0102X
Entity Type: Organization

Specialization: Anatomic Pathology & Clinical Pathology

CLIA Number: 03D1052329

Address:
2109 S. 48TH STREET
SUITE 102
TEMPE, AZ
ZIP 85282
Phone: (602) 424-2889
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CLIN-PATH DIAGNOSTICS, LLC is an anatomic pathology and clinical pathology pathology in Tempe, 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 DIAGNOSTICS, LLC NPI is 1154350932. The provider is registered as an organization entity type.

The provider's business location address is:

2109 S. 48TH STREET
SUITE 102
TEMPE, AZ
ZIP 85282
Phone: (602) 424-2889
Fax: (602) 424-2569

The provider's authorized official is Robert De La Torre .
The authorized official title is C.o.o. and has the following contact phone number (602) 685-5211.

The CLIA number assigned to this NPI record is 03D1052329 - independent with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 7/2/2006 and was last updated on 12/18/2013.


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 LaboratoryNo
2207ZP0102XPathologyAnatomic Pathology & Clinical PathologyARIZONAYes

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
1112005MEDICARE PINARIZONA

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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