Organization Active NPI

Albany Pathology Associates PC

  • Clinical Medical Laboratory
  • Albany, GA
National Provider Identifier
1073637740
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
047-015 Issued in GA
Legal business name
ALBANY PATHOLOGY ASSOCIATES PC
Practice address
1907 Palmyra Rd
Albany, GA 31701-1574
Phone
(229) 439-7170
Fax
(229) 431-0770
NPI assigned
Mar 19, 2007
Last updated
Jul 31, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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

Authorized official

Name
Christina Harrold
Title
Office Manager
Phone
(229) 439-7170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 047-015 GA Primary

Addresses

Primary practice location

1907 Palmyra Rd
Albany, GA 31701-1574

Mailing address

PO Box 71385
Albany, GA 31708-1385
Phone (229) 439-7170

Other identifiers 2

IdentifierTypeStateIssuer
55002162MedicaidGA
CL8506OtherGARR MEDICARE

National Provider Directory

National Provider Directory

Locations

1007 W 1st Ave
Albany, GA 31701
Phone (229) 439-7170

1907 Palmyra Rd
Albany, GA 31701
Phone (229) 439-7170

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1073637740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71385",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317081385",
            "telephone_number": "229-439-7170",
            "fax_number": "229-431-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 PALMYRA RD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011574",
            "telephone_number": "229-439-7170",
            "fax_number": "229-431-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBANY PATHOLOGY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "HARROLD",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "229-439-7170"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "GA",
            "license": "047-015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55002162",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CL8506",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.

Verify at the official NPI Registry.