University Pathologists Laboratories, LLP

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

PFI3697 Issued in NY

Legal business name

UNIVERSITY PATHOLOGISTS LABORATORIES, LLP

Practice address

550 Harrison St
Suite 220
Syracuse, NY 13202-3096

Phone

(315) 464-6751

Fax

(315) 464-6749

NPI assigned

Jul 21, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gregory Threatte, MD

Title

President

Phone

(315) 464-6751

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Shanley, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Syracuse, NY
  • NPI 1679687230
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063433860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 HARRISON ST",
            "address_2": "SUITE 502",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132023065",
            "telephone_number": "315-464-6751",
            "fax_number": "315-464-6749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 HARRISON ST",
            "address_2": "SUITE 220",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132023096",
            "telephone_number": "315-464-6751",
            "fax_number": "315-464-6749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY PATHOLOGISTS LABORATORIES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THREATTE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-464-6751",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NY",
            "license": "PFI3697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01018973",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• University Hill Radiation Oncology
• University Hospital @ Syracuse
• University OB/GYN Associates
• University Otolaryngology Associates of Central New York, LLP
• University Pathologists Laboratories, LLP
• University Pediatrics
• University Radiology Associates, LLP
• University Surgical Associates, LLP
• University Urology Associates, Inc
• Ramona Vesna Untanu, M.D.

• Clinical Medical Laboratory in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Clinical Medical Laboratory in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.