Pathology Diagnostic Services P.C.

Primary specialty

Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X

License

32284 Issued in MA

Legal business name

PATHOLOGY DIAGNOSTIC SERVICES P.C.

Practice address

377 Woodland Circle
Ludlow, MA 01056

Phone

(401) 254-6160

Fax

(401) 254-6163

NPI assigned

Sep 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. George Henry Holsten III, M.D.

Title

Ceo

Phone

(401) 254-1006

Specialties & licenses 4

Addresses

Other identifiers 1

Practitioners 2

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

• Leslie Dowd, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Worcester, MA
  • NPI 1588632426
  NPD (past)
• Nida Shemmeri, MD

  • Anatomic Pathology Physician
  • Worcester, MA
  • NPI 1154331635

  Anatomic Pathology & Clinical Pathology

  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458691200000",
    "number": "1285739276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 WOODLAND CIRCLE",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "01056",
            "telephone_number": "401-254-6160",
            "fax_number": "401-254-6163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 WOODLAND CIRCLE",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "01056",
            "telephone_number": "401-254-6160",
            "fax_number": "401-254-6163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHOLOGY DIAGNOSTIC SERVICES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2016-03-23",
        "status": "A",
        "authorized_official_last_name": "HOLSTEN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "401-254-1006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MA",
            "license": "32284",
            "primary": false
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "MA",
            "license": "32284",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MA",
            "license": "32284",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9760784",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Gura Niedbala, PA-C
• Anne M. Nunnelly, PA
• Maria Teresa Ortega, NP
• Elizabeth Ortiz, PA-C
• Minaly Pagan, FNP-BC
• Jill C Patruno, PA-C
• Paul R. Blomerth, D.C.
• Amanda Pelland
• Nicole Kimberly Peritore, P.T
• Rachael Anne Petrolati

• Clinical Pathology/Laboratory Medicine Physician in Ludlow, MA
• Providers in Ludlow, MA by specialty
• Clinical Pathology/Laboratory Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; 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.