Active NPI
Clin-Path Diagnostics, LLC
- Anatomic Pathology & Clinical Pathology Physician
- Tempe, AZ
National Provider Identifier
1154350932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- Legal business name
- CLIN-PATH DIAGNOSTICS, LLC
- Practice address
- 2109 S. 48TH Street
Suite 102
Tempe, AZ 85282 - Phone
- (602) 424-2889
- Fax
- (602) 424-2569
- NPI assigned
- Jul 2, 2006
- Last updated
- Dec 18, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robert De la Torre
- Title
- C.O.O.
- Phone
- (602) 685-5211
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | AZ | Primary | |
| Clinical Medical Laboratory | 291U00000X |
Addresses
Primary practice location
2109 S. 48TH Street
Suite 102
Tempe, AZ 85282
Mailing address
PO Box 42210
Phoenix, AZ 85080
Phone (623) 889-7403
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Tempe, AZ
- NPI 1952381378
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1174986145
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1982684742
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151798400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1387324800000",
"number": "1154350932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 42210",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85080",
"telephone_number": "623-889-7403",
"fax_number": "623-889-7407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2109 S. 48TH STREET",
"address_2": "SUITE 102",
"city": "TEMPE",
"state": "AZ",
"postal_code": "85282",
"telephone_number": "602-424-2889",
"fax_number": "602-424-2569"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLIN-PATH DIAGNOSTICS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-02",
"last_updated": "2013-12-18",
"status": "A",
"authorized_official_last_name": "DE LA TORRE",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "C.O.O.",
"authorized_official_telephone_number": "602-685-5211",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "AZ",
"license": null,
"primary": true
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.