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INGERLISA MATTOCH MD INC NPI 1467190736


NPI Information

NPI: 1467190736
Provider Name: INGERLISA MATTOCH MD INC

Doing Business As: TIAGA PATHOLOGY

Classification: Pathology - 207ZD0900X
Entity Type: Organization

Specialization: Dermatopathology

Address:
1708 BOISE AVE
LOVELAND, CO
ZIP 80538
Phone: (708) 186-7889
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INGERLISA MATTOCH MD INC is a dermatopathology pathology in Loveland, CO. The provider is a dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy. INGERLISA MATTOCH MD INC NPI is 1467190736. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Tiaga Pathology.

The provider's business location address is:

1708 BOISE AVE
LOVELAND, CO
ZIP 80538-204
Phone: (708) 186-7889

The provider's authorized official is Ingerlisa Mattoch .
The authorized official title is Authorized Representative and has the following contact phone number (970) 818-6788.

The enumeration date for this NPI number is 5/25/2022 and was last updated on 6/13/2022.


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
1207ND0900XDermatologyDermatopathologyNo
2207ZP0101XPathologyAnatomic PathologyNo
3207ZD0900XPathologyDermatopathologyYes

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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