Active NPI
Southern Ohio Regional Pathology, Inc
- Anatomic Pathology & Clinical Pathology Physician
- Portsmouth, OH
National Provider Identifier
1255329413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- Legal business name
- SOUTHERN OHIO REGIONAL PATHOLOGY, INC
- Practice address
- 1805 27TH St
Portsmouth, OH 45662-2640 - Phone
- (740) 356-8280
- Fax
- (740) 356-6255
- NPI assigned
- Oct 12, 2005
- Last updated
- Aug 22, 2020
- 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
- Dr. Vincent H Randaisi, DO
- Title
- President
- Phone
- (740) 356-8103
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | Primary |
Addresses
Primary practice location
1805 27TH St
Portsmouth, OH 45662-2640
Mailing address
13688 US Highway 52
Portsmouth, OH 45663-8963
Phone (740) 356-8103
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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
- Portsmouth, OH
- NPI 1114915279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1255329413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13688 US HIGHWAY 52",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456638963",
"telephone_number": "740-356-8103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1805 27TH ST",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456622640",
"telephone_number": "740-356-8280",
"fax_number": "740-356-6255"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN OHIO REGIONAL PATHOLOGY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-12",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "RANDAISI",
"authorized_official_first_name": "VINCENT",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "740-356-8103",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, OH
- Southern Ohio Medical Center (SOMC Pharmacy South Campus)
- Southern Ohio Medical Center
- Southern Ohio Medical Imaging Consultants Inc
- Southern Ohio Nephrology, Inc.
- Southern Ohio Radiologists Inc
- Southern Ohio Surgical Associates, Inc.
- Laura Sova, FNP-C
- Kala R Sowards Rhea, CDCA
- Brittany M Sowards, CDCA
- Charles Sowers
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.