Big Horn Basin Pathology

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

BIG HORN BASIN PATHOLOGY

Practice address

1008 Cody Ave
Cody, WY 82414-4118

Phone

(307) 578-1850

Fax

(307) 578-1850

NPI assigned

May 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Pamela Potter Root, MD

Title

Pathologist Owner

Phone

(307) 578-1850

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083822795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 SHERIDAN AVE",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824143409",
            "telephone_number": "307-578-1850",
            "fax_number": "307-578-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 CODY AVE",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824144118",
            "telephone_number": "307-578-1850",
            "fax_number": "307-578-1850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG HORN BASIN PATHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROOT",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "POTTER",
        "authorized_official_title_or_position": "PATHOLOGIST OWNER",
        "authorized_official_telephone_number": "307-578-1850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Cody, WY
• Clinical Medical Laboratory in Wyoming

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.