Organization Active NPI

Diagnostic Pathology Medical Group, Inc.

  • Clinical Medical Laboratory
  • Reno, NV
National Provider Identifier
1124937297
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
DIAGNOSTIC PATHOLOGY MEDICAL GROUP, INC.
Practice address
5520 Reno Corporate Dr Ste 105
Reno, NV 89511-2636
Phone
(775) 799-5383
NPI assigned
Sep 3, 2026
Last updated
Sep 3, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
DIAGNOSTIC PATHOLOGY MEDICAL GROUP, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Authorized official

Name
Molly Teron
Title
Director RCM
Phone
(916) 440-6309

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary
Cytopathology Physician 207ZC0500X NU
Dermatopathology (Pathology) Physician 207ZD0900X NU
Hematology (Pathology) Physician 207ZH0000X NU
Immunopathology Physician 207ZI0100X NU
Neuropathology Physician 207ZN0500X NU
Molecular Genetic Pathology (Pathology) Physician 207ZP0007X NU
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X NU

Addresses

Primary practice location

5520 Reno Corporate Dr Ste 105
Reno, NV 89511-2636

Mailing address

3301 C St Ste 200E
Sacramento, CA 95816-3363
Phone (916) 440-6309

National Provider Directory

National Provider Directory
Tax ID family
Diagnostic Pathology Medical Group16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

Locations

5520 Reno Corporate Dr
Ste 105
Reno, NV 89511

NPI Registry JSON

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

{
    "created_epoch": "1788393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788393600000",
    "number": "1124937297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 C ST STE 200E",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958163363",
            "telephone_number": "916-440-6309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5520 RENO CORPORATE DR STE 105",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112636",
            "telephone_number": "775-799-5383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC PATHOLOGY MEDICAL GROUP, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIAGNOSTIC PATHOLOGY MEDICAL GROUP, INC.",
        "enumeration_date": "2026-09-03",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A",
        "authorized_official_last_name": "TERON",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_title_or_position": "DIRECTOR RCM",
        "authorized_official_telephone_number": "916-440-6309"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207ZI0100X",
            "taxonomy_group": "",
            "desc": "Pathology, Immunopathology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207ZN0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Neuropathology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0007X",
            "taxonomy_group": "",
            "desc": "Pathology, Molecular Genetic Pathology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; 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.