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VISTA PATHOLOGY LABORATORY LLC NPI 1487928420


NPI Information

NPI: 1487928420
Provider Name: VISTA PATHOLOGY LABORATORY, LLC
Classification: Pathology - 207ZP0102X
Entity Type: Organization

Specialization: Anatomic Pathology & Clinical Pathology

CLIA Number: 38D2010656

Address:
1032 E JACKSON ST
MEDFORD, OR
ZIP 97504
Phone: (541) 770-4559
Get Directions

VISTA PATHOLOGY LABORATORY, LLC is an anatomic pathology and clinical pathology pathology in Medford, OR. 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. VISTA PATHOLOGY LABORATORY, LLC NPI is 1487928420. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1032 E JACKSON ST
MEDFORD, OR
ZIP 97504-027
Phone: (541) 770-4559
Fax: (541) 770-4511

The provider's authorized official is Shari L Brite .
The authorized official title is Administrator and has the following contact phone number 54177044559.

The CLIA number assigned to this NPI record is 38D2010656 - independent with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/7/2012 and was last updated on 4/18/2012.


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
138D2036013OTHEROREGONCLIA

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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