NPIMap

Organization Active NPI

Mpath, LLC

Doing business as Mattoch Pathology

  • Anatomic Pathology Physician
  • Loveland, CO
National Provider Identifier
1124441431
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
49136 Issued in CO
Legal business name
MPATH, LLC
Doing business as
Mattoch Pathology
Practice address
1708 Boise Ave
Loveland, CO 80538-4204
Phone
(970) 818-6788
Fax
(970) 372-4699
NPI assigned
Jan 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2021

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

Authorized official

Name
Dr. Ingerlisa Wenche Mattoch, MDNPI 1306034582
Title
Owner
Phone
(970) 818-6788

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0101X 49136 CO Primary

Addresses

Primary practice location

1708 Boise Ave
Loveland, CO 80538-4204

Mailing address

PO Box 7268
Loveland, CO 80537-0268
Phone (970) 663-2742

Other names 1

  • Mattoch Pathology Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1390435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612742400000",
    "number": "1124441431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7268",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805370268",
            "telephone_number": "970-663-2742",
            "fax_number": "970-699-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 BOISE AVE",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805384204",
            "telephone_number": "970-818-6788",
            "fax_number": "970-372-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MPATH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-23",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A",
        "authorized_official_last_name": "MATTOCH",
        "authorized_official_first_name": "INGERLISA",
        "authorized_official_middle_name": "WENCHE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-818-6788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology",
            "state": "CO",
            "license": "49136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mattoch Pathology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mattoch Pathology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Loveland, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; 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.