PATHLAB INC NPI 1497197461

NPI Information

  • NPI: 1497197461
  • Provider Name: PATHLAB INC
  • Classification: Pathology - 207ZP0102X
  • Specialization: Anatomic Pathology & Clinical Pathology
  • Entity Type: Organization
  • CLIA Number: 03D2067119
  • Address: 4266 INDUSTRY DRIVE
    SUITE 1
    SIERRA VISTA, AZ
    ZIP 85635
  • Phone: (520) 335-1800

Map and Directions

Get Directions

NPI Details

PATHLAB INC is an anatomic pathology and clinical pathology pathology in Sierra Vista, 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. PATHLAB INC NPI is 1497197461. The provider is registered as an organization entity type.

The provider's business location address is:

4266 INDUSTRY DRIVE
SUITE 1
SIERRA VISTA, AZ
ZIP 85635-255
Phone: (520) 335-1800
Fax: (520) 335-2743

The provider's authorized official is Max Mirot .
The authorized official title is Owner and has the following contact phone number (520) 459-1984.

The CLIA number assigned to this NPI record is 03D2067119 - independent with a certificate type of Certificate of Compliance.

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.

  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Special stained specimen slides to examine tissue, each additional procedure (HCPCS:88341)
  • Special stained specimen slides to examine tissue including interpretation and report (HCPCS:88313)
  • Special stained specimen slides to examine tissue, initial procedure (HCPCS:88342)
  • Microscopic genetic analysis of tumor, manual (HCPCS:88360)
  • Preparation of tissue for examination by removing any calcium present (HCPCS:88311)
  • Pathology examination of tissue using a microscope, moderately low complexity (HCPCS:88304)
  • Evaluation of fine needle aspirate with interpretation and report (HCPCS:88173)
  • Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method (HCPCS:G0416)

The enumeration date for this NPI number is 7/19/2013 and was last updated on 10/18/2016.

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
1291U00000XClinical Medical Laboratory03D0713539ARIZONANo
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1906255MEDICAIDARIZONA
2Z164047MEDICARE 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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.