Organization Active NPI

Innovtech Histopathology Services

  • Other Technician
  • Orange, CA
National Provider Identifier
1285279661
Registry record updated Mar 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
Legal business name
INNOVTECH HISTOPATHOLOGY SERVICES
Practice address
1022 N Tustin St
Orange, CA 92867-5958
Phone
(714) 609-5656
NPI assigned
Nov 9, 2019
Last updated
Mar 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2020

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

Authorized official

Name
Yethu Kyaw
Title
Ceo
Phone
(714) 609-5656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X NU Primary

Addresses

Primary practice location

1022 N Tustin St
Orange, CA 92867-5958

Mailing address

663 S Melrose St
Anaheim, CA 92805-4766
Phone (714) 609-5656

National Provider Directory

National Provider Directory

Locations

1022 N Tustin St
Orange, CA 92867
Phone (714) 532-1074

NPI Registry JSON

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

{
    "created_epoch": "1573257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584316800000",
    "number": "1285279661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "663 S MELROSE ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928054766",
            "telephone_number": "714-609-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 N TUSTIN ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928675958",
            "telephone_number": "714-609-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVTECH HISTOPATHOLOGY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-09",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A",
        "authorized_official_last_name": "KYAW",
        "authorized_official_first_name": "YETHU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-609-5656"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.

Verify at the official NPI Registry.