Pathone Diagnostics, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

1694 Issued in MN

Legal business name

PATHONE DIAGNOSTICS, LLC

Practice address

471 Hayward Ave N
Oakdale, MN 55128-5374

Phone

(651) 264-9090

Fax

(651) 735-9170

NPI assigned

Dec 14, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Karen L Ditty, CT(ASCP)

Title

Cytology Supervisor

Phone

(651) 264-9090

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285796417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 HAYWARD AVE N",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551285374",
            "telephone_number": "651-264-9090",
            "fax_number": "651-735-9170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 HAYWARD AVE N",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551285374",
            "telephone_number": "651-264-9090",
            "fax_number": "651-735-9170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHONE DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DITTY",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CYTOLOGY SUPERVISOR",
        "authorized_official_telephone_number": "651-264-9090",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CT(ASCP)"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MN",
            "license": "1694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36202800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Oakdale, MN
• Providers in Oakdale, MN by specialty
• Clinical Medical Laboratory in Minnesota

• 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.

Verify at the official NPI Registry.