NPIMap

Organization Active NPI

Seacoast Pathology Inc

  • Clinical Medical Laboratory
  • Exeter, NH
National Provider Identifier
1154651230
Registry record updated Apr 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
03236 Issued in NH
Legal business name
SEACOAST PATHOLOGY INC
Practice address
1 Hampton Rd
Suite 208
Exeter, NH 03833-4848
Phone
(866) 484-3522
NPI assigned
Jan 12, 2010
Last updated
Apr 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2015

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

Authorized official

Name
Michael C. Grattendick
Title
Vice President
Phone
(561) 626-5512

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 03236 NH Primary

Addresses

Primary practice location

1 Hampton Rd
Suite 208
Exeter, NH 03833-4848

Mailing address

11025 Rca Center Dr
Suite 300
Palm Beach Gardens, FL 33410-4269
Phone (561) 626-5512

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100610000080 ME Part B Supplier - Hospital Department(S) 0749224145 Receives reassigned benefits from 8 practitioners
Practice locations: York, ME

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Seacoast Pathology Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1 Hampton Rd
#E208
Exeter, NH 03833
Phone (603) 778-8522

1 Hampton Rd
Unit 208
Exeter, NH 03833
Phone (603) 431-5205

1 Hampton Rd
Unit 307
Exeter, NH 03833
Phone (603) 778-8522

5 Alumni Dr
Exeter, NH 03833
Phone (603) 580-6339

3055 Lebanon Pike
Ste 1000
Nashville, TN 37214
Phone (842) 628-2552

Practitioners & affiliated clinicians

Practitioners 215

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.

View all 215

NPI Registry JSON

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

{
    "created_epoch": "1263254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428624000000",
    "number": "1154651230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11025 RCA CENTER DR",
            "address_2": "SUITE 300",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104269",
            "telephone_number": "561-626-5512",
            "fax_number": "561-626-4530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HAMPTON RD",
            "address_2": "SUITE 208",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038334848",
            "telephone_number": "866-484-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEACOAST PATHOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-12",
        "last_updated": "2015-04-10",
        "status": "A",
        "authorized_official_last_name": "GRATTENDICK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "561-626-5512"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NH",
            "license": "03236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exeter, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.