NPIMap

Organization Active NPI

Pathology Laboratory Diag., Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Monroeville, PA
National Provider Identifier
1093741381
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
PATHOLOGY LABORATORY DIAG., INC
Practice address
2570 Haymaker Rd
Monroeville, PA 15146-3513
Phone
(412) 858-2567
NPI assigned
Jun 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Carlos D Bedetti, MDNPI 1659324135
Title
President
Phone
(412) 858-2567

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
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0102X PA Primary

Addresses

Primary practice location

2570 Haymaker Rd
Monroeville, PA 15146-3513

Mailing address

2570 Haymaker Rd
Monroeville, PA 15146-3513
Phone (412) 858-2567

Other identifiers 2

IdentifierTypeStateIssuer
0011423050010MedicaidPA
538855OtherPAHIGHMARK/BLUE SHIELD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1093741381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2570 HAYMAKER RD",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151463513",
            "telephone_number": "412-858-2567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2570 HAYMAKER RD",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151463513",
            "telephone_number": "412-858-2567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHOLOGY LABORATORY DIAG., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BEDETTI",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-858-2567",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011423050010",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK/BLUE SHIELD",
            "identifier": "538855",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.