Organization Active NPI

Western States Pathology, Inc.

  • Clinical Medical Laboratory
  • Greeley, CO
National Provider Identifier
1104841337
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
WESTERN STATES PATHOLOGY, INC.
Practice address
2918 W 10TH St
Greeley, CO 80634-5476
Phone
(970) 353-5136
Fax
(970) 353-5614
NPI assigned
Jul 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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

Authorized official

Name
Mrs. Jill Lambert
Title
Office Manager
Phone
(970) 353-5136

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X CO Primary

Addresses

Primary practice location

2918 W 10TH St
Greeley, CO 80634-5476

Mailing address

2918 W 10TH St
Greeley, CO 80634-5476
Phone (970) 353-5136

Other identifiers 3

IdentifierTypeStateIssuer
536328OtherCOBLUE CROSS BLUE SHIELD
06278566MedicaidCO
536328OtherCOROCKY MOUNTAIN HEALTH PLA

Other names 1

  • Northern Colorado Cytology Service Doing business as

National Provider Directory

National Provider Directory

Locations

2918 W 10th St
Ste 1
Greeley, CO 80634
Phone (970) 353-5136

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1104841337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2918 W 10TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806345476",
            "telephone_number": "970-353-5136",
            "fax_number": "970-353-5614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2918 W 10TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806345476",
            "telephone_number": "970-353-5136",
            "fax_number": "970-353-5614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN STATES PATHOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "LAMBERT",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "970-353-5136",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "536328",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06278566",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ROCKY MOUNTAIN HEALTH PLA",
            "identifier": "536328",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern Colorado Cytology Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; 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.