NPI Details
INTERSCOPE PATHOLOGY MEDICAL GROUP is a clinical medical laboratory in Canoga Park, CA. 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. INTERSCOPE PATHOLOGY MEDICAL GROUP NPI is 1386807246. The provider is registered as an organization entity type.
The provider's business location address is:
21114 VANOWEN ST
CANOGA PARK, CA
ZIP 91303-811
Phone: (818) 992-7848
Fax: (818) 992-7943
The provider's authorized official is Alan S Bricklin .
The authorized official title is Medical Director and has the following contact phone number (818) 992-7848.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Cell examination of specimen, selective cellular enhancement technique (HCPCS:88112)
- Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
- Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method (HCPCS:G0416)
- Pathology examination of specimen during surgery, first tissue block (HCPCS:88331)
- Special stained specimen slides to examine tissue, each additional procedure (HCPCS:88341)
- Pathology examination of tissue using a microscope, moderately low complexity (HCPCS:88304)
- Pathology examination of tissue using a microscope, moderately high complexity (HCPCS:88307)
- Special stained specimen slides to examine tissue, initial procedure (HCPCS:88342)
The enumeration date for this NPI number is 7/9/2008 and was last updated on 7/9/2008.
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 Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 291U00000X | Clinical Medical Laboratory | | CLF3199 | CALIFORNIA | Yes |
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 Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | ZZZ59323Z | MEDICAID | CALIFORNIA | |
| 2 | 05D0700248 | OTHER | CALIFORNIA | MEDICARE/CLIA |
