Taach Pathology, LTD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

03D1074399 CLIA Issued in AZ

Legal business name

TAACH PATHOLOGY, LTD

Practice address

15612 N 32ND St
Ste. #3
Phoenix, AZ 85032-3859

Phone

(602) 251-8052

Fax

(602) 251-8068

NPI assigned

Mar 16, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Henry David Khachaturian

Title

Business Manager

Phone

(480) 922-4923

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Mark Kartub, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Phoenix, AZ
  • NPI 1891765897
  NPD (past)

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478131200000",
    "number": "1114996667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 E. GREENWAY PKWY.",
            "address_2": "#103-447",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85254",
            "telephone_number": "480-922-4923",
            "fax_number": "480-922-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15612 N 32ND ST",
            "address_2": "STE. #3",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323859",
            "telephone_number": "602-251-8052",
            "fax_number": "602-251-8068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAACH PATHOLOGY, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-16",
        "last_updated": "2016-11-03",
        "status": "A",
        "authorized_official_last_name": "KHACHATURIAN",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "480-922-4923",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AZ",
            "license": "13453 STATE LICENSE",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AZ",
            "license": "03D1074399 CLIA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432137",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Alicia Moana Taase
• Baharak Tabarsi, M.D.
• Evan B Taber, M.D.
• Kimberly S Taber
• Louise A Taber, M.D.

• Anatomic Pathology & Clinical Pathology Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Anatomic Pathology & Clinical Pathology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; 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.