Organization Active NPI

Pathserve

  • Clinical Medical Laboratory
  • San Carlos, CA
National Provider Identifier
1083842041
Registry record updated Feb 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PATHSERVE
Practice address
963 Industrial Rd
Suite F
San Carlos, CA 94070-4145
Phone
(415) 664-9686
Fax
(415) 294-4554
NPI assigned
Jun 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2014

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

Authorized official

Name
Mr. Roman Karp, CERT. PATH ASSISTANTNPI 1952725871
Title
Ceo
Phone
(415) 664-9686

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)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

963 Industrial Rd
Suite F
San Carlos, CA 94070-4145

Mailing address

963 Industrial Rd
Suite F
San Carlos, CA 94070-4145
Phone (415) 664-9686

National Provider Directory

National Provider Directory
Tax ID family
Pathserve2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

963 Industrial Rd
Ste F
San Carlos, CA 94070
Phone (415) 664-9686

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392163200000",
    "number": "1083842041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "963 INDUSTRIAL RD",
            "address_2": "SUITE F",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940704145",
            "telephone_number": "415-664-9686",
            "fax_number": "415-294-4554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "963 INDUSTRIAL RD",
            "address_2": "SUITE F",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940704145",
            "telephone_number": "415-664-9686",
            "fax_number": "415-294-4554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHSERVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-29",
        "last_updated": "2014-02-12",
        "status": "A",
        "authorized_official_last_name": "KARP",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-664-9686",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CERT. PATH ASSISTANT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Carlos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; 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.