Organization Active NPI

Pathology Associates Medical Laboratories, LLC

  • Clinical Medical Laboratory
  • Coeur D Alene, ID
National Provider Identifier
1225365604
Registry record updated Dec 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PATHOLOGY ASSOCIATES MEDICAL LABORATORIES, LLC
Practice address
700 W Ironwood Dr Ste 108
Coeur D Alene, ID 83814-2656
Phone
(509) 755-8600
NPI assigned
Nov 5, 2009
Organization subpart
Yes
Parent organization
PATHOLOGY ASSOCIATES MEDICAL LABORATORIES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 11, 2009

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

Authorized official

Name
Kurt Rogers
Title
Cfo
Phone
(509) 755-8903

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

700 W Ironwood Dr Ste 108
Coeur D Alene, ID 83814-2656

Mailing address

PO Box 2720
Spokane, WA 99220-4002
Phone (509) 755-8600

Other names 1

  • PAML Other name

National Provider Directory

National Provider Directory
Part of
Paml PSC Alpha Post Falls

Locations

700 W Ironwood Dr
Ste 108
Coeur D Alene, ID 83814
Phone (208) 664-8249

980 W Ironwood Dr
Ste 203
Coeur D Alene, ID 83814
Phone (208) 292-2782

520 Medical Dr
Ste 100A
Bountiful, UT 84010
Phone (801) 203-1028

410 Black Hills Ln SW
Ste C
Olympia, WA 98502
Phone (206) 792-3900

110 W Cliff Dr
Ste 300400
Spokane, WA 99204
Phone (800) 349-8586

NPI Registry JSON

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

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260489600000",
    "number": "1225365604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2720",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992204002",
            "telephone_number": "509-755-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W IRONWOOD DR STE 108",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142656",
            "telephone_number": "509-755-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHOLOGY ASSOCIATES MEDICAL LABORATORIES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PATHOLOGY ASSOCIATES MEDICAL LABORATORIES, LLC",
        "enumeration_date": "2009-11-05",
        "last_updated": "2009-12-11",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "KURT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "509-755-8903"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PAML",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Coeur D Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2009; 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.