Organization Active NPI

Pennsylvania Specialty Pathology LLC

  • Clinical Medical Laboratory
  • Lancaster, PA
National Provider Identifier
1205026002
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PENNSYLVANIA SPECIALTY PATHOLOGY LLC
Practice address
2301 Harrisburg Pike
Suite 201
Lancaster, PA 17601-2415
Phone
(717) 393-7771
Fax
(717) 393-7328
NPI assigned
Jul 27, 2007
Last updated
May 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Authorized official

Name
Dr. Fabien K Baksh, M.D.NPI 1740253665
Title
Director
Phone
(717) 368-4740

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

2301 Harrisburg Pike
Suite 201
Lancaster, PA 17601-2415

Mailing address

2301 Harrisburg Pike
Suite 201
Lancaster, PA 17601-2415
Phone (717) 393-7771

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080109000589 PA Part B Supplier - Independent Clinical Laboratory 7810077377 Practice locations: Lancaster, PA

National Provider Directory

National Provider Directory

Locations

480 Running Pump Rd
Lancaster, PA 17601
Phone (717) 393-7771

Practitioners & affiliated clinicians

Practitioners 4

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": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1205026002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 HARRISBURG PIKE",
            "address_2": "SUITE 201",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012415",
            "telephone_number": "717-393-7771",
            "fax_number": "717-393-7328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 HARRISBURG PIKE",
            "address_2": "SUITE 201",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012415",
            "telephone_number": "717-393-7771",
            "fax_number": "717-393-7328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNSYLVANIA SPECIALTY PATHOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "BAKSH",
        "authorized_official_first_name": "FABIEN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "717-368-4740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.