Active NPI
High Plains Pathlogy Consultants P.C.
- Clinical Pathology/Laboratory Medicine Physician
- La Junta, CO
National Provider Identifier
1275756587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Pathology/Laboratory Medicine Physician
- License
- 09-30086
- Legal business name
- HIGH PLAINS PATHLOGY CONSULTANTS P.C.
- Practice address
- 1100 Carson Ave
La Junta, CO 81050-2751 - Phone
- (719) 384-7734
- NPI assigned
- Apr 11, 2007
- 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. William A Holm, MD
- Title
- President
- Phone
- (719) 384-7734
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | 09-30086 | CO | Primary |
Addresses
Primary practice location
1100 Carson Ave
La Junta, CO 81050-2751
Mailing address
PO Box 1080
La Junta, CO 81050-1080
Phone (719) 384-6577
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04004354 | Medicaid | CO |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1275756587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1080",
"city": "LA JUNTA",
"state": "CO",
"postal_code": "810501080",
"telephone_number": "719-384-6577",
"fax_number": "719-384-2441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 CARSON AVE",
"city": "LA JUNTA",
"state": "CO",
"postal_code": "810502751",
"telephone_number": "719-384-7734"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HIGH PLAINS PATHLOGY CONSULTANTS P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-11",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HOLM",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "719-384-7734",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "CO",
"license": "09-30086",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04004354",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Junta, CO
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.