Summit Pathology

Organization Active NPI Anatomic Pathology & Clinical Pathology Physician · Fort Collins, CO

NPI 1356088751 · NPPES record last updated May 17, 2022

Key facts

NPI
1356088751
Entity type
Organization (NPI type 2)
Primary specialty
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
Legal business name
SUMMIT PATHOLOGY
Practice address
1024 S Lemay Ave
Fort Collins, CO 80524-3929
Phone
(970) 495-8740
NPI assigned
May 17, 2022
Organization subpart
No

Authorized official

Name
Jeff Christinson
Title
Ceo
Phone
(970) 212-0557

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 10

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 22

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

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2223303Summit Pathology
1024 South Lemay Ave, Fort Collins, CO 80524
ComplianceDec 27, 2025

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CO

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040331000656 CO Part B Supplier - Clinic/Group Practice 3971595968 Receives reassigned benefits from 30 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Loveland, CO; Sterling, CO; Greeley, CO; Fort Collins, CO

National Provider Directory

Tax ID family
Summit Pathology (11 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
207ZP0102X Yes

Addresses

Primary practice location

1024 S Lemay Ave
Fort Collins, CO 80524-3929

Mailing address

PO Box 913258
Denver, CO 80291-3168
Phone (970) 212-0530

Other providers in Fort Collins, CO

All providers in Fort Collins, CO · Anatomic Pathology & Clinical Pathology Physician in Colorado

Sources for this page

Verify at the official NPI Registry.