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SIERRA VISTA PATHOLOGY PC NPI 1992142921


NPI Information

NPI: 1992142921
Provider Name: SIERRA VISTA PATHOLOGY PC
Classification: Pathology - 207ZP0102X
Entity Type: Organization

Specialization: Anatomic Pathology & Clinical Pathology

CLIA Number: 03D2072130

Address:
5700 E HIGHWAY 90
SIERRA VISTA, AZ
ZIP 85635
Phone: (520) 335-1800
Get Directions

SIERRA VISTA PATHOLOGY PC 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. SIERRA VISTA PATHOLOGY PC NPI is 1992142921. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5700 E HIGHWAY 90
SIERRA VISTA, AZ
ZIP 85635-110
Phone: (520) 335-1800
Fax: (520) 335-2743

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

The CLIA number assigned to this NPI record is 03D2072130 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/31/2013 and was last updated on 5/8/2015.


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
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1Z163669MEDICARE PINARIZONA
2904866MEDICAIDARIZONA

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: 5/5/2024

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