NPIMap

Organization Active NPI

Lakewood Pathology Associates, Inc.

Doing business as Inform Diagnostics

  • Clinical Medical Laboratory
  • Union, NJ
National Provider Identifier
1336160217
Registry record updated May 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
LAKEWOOD PATHOLOGY ASSOCIATES, INC.
Doing business as
Inform Diagnostics
Practice address
825 Rahway Ave
Union, NJ 07083-6633
Phone
(732) 901-7575
NPI assigned
Jul 23, 2006
Last updated
May 1, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2018

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

Authorized official

Name
Bonnie Sue Pirtz
Title
VP Managed Care
Phone
(480) 309-2674

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 0002824 NJ

Addresses

Primary practice location

825 Rahway Ave
Union, NJ 07083-6633

Mailing address

6655 North Macarthur Boulevard
Attn: Managed Care Department
Irving, TX 75039-2443
Phone (214) 596-7031

Other names 1

  • Inform Diagnostics Doing business as

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2905 Momentum Pl
Chicago, IL 60689

1 Gateway Ctr
Ste 2600
Newark, NJ 07102
Phone (267) 999-9534

825 Rahway Ave
Union, NJ 07083
Phone (732) 901-7575

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525132800000",
    "number": "1336160217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6655 NORTH MACARTHUR BOULEVARD",
            "address_2": "ATTN: MANAGED CARE DEPARTMENT",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750392443",
            "telephone_number": "214-596-7031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 RAHWAY AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070836633",
            "telephone_number": "732-901-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD PATHOLOGY ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2018-05-01",
        "status": "A",
        "authorized_official_last_name": "PIRTZ",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "VP MANAGED CARE",
        "authorized_official_telephone_number": "480-309-2674"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NJ",
            "license": "0002824",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inform Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Union, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; 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.