Organization Active NPI

Omnipathology Solutions Medical Corporation

  • Clinical Medical Laboratory
  • Pasadena, CA
National Provider Identifier
1235245291
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
CLF332126 Issued in CA
Legal business name
OMNIPATHOLOGY SOLUTIONS MEDICAL CORPORATION
Practice address
968 S Fair Oaks Ave
Pasadena, CA 91105-2626
Phone
(626) 744-5339
Fax
(866) 296-6833
NPI assigned
Aug 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Authorized official

Name
Claire David
Title
Practice Administrator
Phone
(661) 705-3441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X CLF332126 CA Primary

Addresses

Primary practice location

968 S Fair Oaks Ave
Pasadena, CA 91105-2626

Mailing address

968 S Fair Oaks Ave
Pasadena, CA 91105-2626
Phone (626) 744-5339

Other names 1

  • Omnipathology Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080509000689 CA Part B Supplier - Clinic/Group Practice 4981601671 Receives reassigned benefits from 1 practitioner
Practice locations: Pasadena, CA

National Provider Directory

National Provider Directory

Locations

11 W Del Mar Blvd
Ste 250
Pasadena, CA 91105
Phone (626) 744-5339

11 W Del Mar Blvd
Ste 100
Pasadena, CA 91105
Phone (626) 578-7544

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752537600000",
    "number": "1235245291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "968 S FAIR OAKS AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052626",
            "telephone_number": "626-744-5339",
            "fax_number": "866-296-6833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "968 S FAIR OAKS AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052626",
            "telephone_number": "626-744-5339",
            "fax_number": "866-296-6833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNIPATHOLOGY SOLUTIONS MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A",
        "authorized_official_last_name": "DAVID",
        "authorized_official_first_name": "CLAIRE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "661-705-3441"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF332126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Omnipathology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.