Active NPI
Ohio Pathology Laboratories Inc
- Anatomic Pathology & Clinical Pathology Physician
- Mount Vernon, OH
National Provider Identifier
1063638005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 35059747
- Legal business name
- OHIO PATHOLOGY LABORATORIES INC
- Practice address
- 1330 Coshocton Road
Mount Vernon, OH 43050 - Phone
- (740) 393-9770
- Fax
- (740) 399-3134
- NPI assigned
- Apr 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leonard Keith Plocki, MD
- Title
- President
- Phone
- (740) 393-9770
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 35059747 | OH | Primary |
Addresses
Primary practice location
1330 Coshocton Road
Mount Vernon, OH 43050
Mailing address
PO Box 1002
Mount Vernon, OH 43050
Phone (740) 393-3455
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0785646 | Medicaid | OH |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Mount Vernon, OH
- NPI 1376769307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205280000000",
"number": "1063638005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1002",
"city": "MOUNT VERNON",
"state": "OH",
"postal_code": "43050",
"telephone_number": "740-393-3455",
"fax_number": "740-399-3134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 COSHOCTON ROAD",
"city": "MOUNT VERNON",
"state": "OH",
"postal_code": "43050",
"telephone_number": "740-393-9770",
"fax_number": "740-399-3134"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OHIO PATHOLOGY LABORATORIES INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-18",
"last_updated": "2008-03-12",
"status": "A",
"authorized_official_last_name": "PLOCKI",
"authorized_official_first_name": "LEONARD",
"authorized_official_middle_name": "KEITH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "740-393-9770",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "OH",
"license": "35059747",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0785646",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Vernon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.