Active NPI
Tmi Pathology Associates
- Clinical Medical Laboratory
- Panorama City, CA
National Provider Identifier
1346202843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- TMI PATHOLOGY ASSOCIATES
- Practice address
- 14850 Roscoe Blvd
Panorama City, CA 91402-4618 - Phone
- (818) 787-2222
- NPI assigned
- Apr 3, 2006
- 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
- Marvin I Retsky, MD
- Title
- President
- Phone
- (818) 787-2222
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
14850 Roscoe Blvd
Panorama City, CA 91402-4618
Mailing address
PO Box 10076
Van Nuys, CA 91410-0076
Phone (805) 578-8300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0058120 | Medicaid | CA |
National Provider Directory
National Provider Directory- Tax ID family
- Tmi Pathology Associates
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Anatomic Pathology & Clinical Pathology Physician
- Van Nuys, CA
- NPI 1487985230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1346202843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10076",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914100076",
"telephone_number": "805-578-8300",
"fax_number": "805-578-8950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14850 ROSCOE BLVD",
"city": "PANORAMA CITY",
"state": "CA",
"postal_code": "914024618",
"telephone_number": "818-787-2222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TMI PATHOLOGY ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "RETSKY",
"authorized_official_first_name": "MARVIN",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-787-2222",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0058120",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Panorama City, CA
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.