Organization Active NPI

Peters Pathology, LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • High Point, NC
National Provider Identifier
1356835789
Registry record updated Jun 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
PETERS PATHOLOGY, LLC
Practice address
302 Lindsay St FL 2
High Point, NC 27262-4961
Phone
(336) 883-0029
NPI assigned
Jun 19, 2018
Last updated
Jun 19, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2018

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

Authorized official

Name
Elise Peters Carey
Title
President
Phone
(336) 883-0029

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X NU
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X NU Primary
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X NU
Histology Technician 246RH0600X NU

Addresses

Primary practice location

302 Lindsay St FL 2
High Point, NC 27262-4961

Mailing address

507 N Lindsay St
High Point, NC 27262-4303
Phone (336) 883-0029

National Provider Directory

National Provider Directory

Locations

302 Lindsay St
Fl 2
High Point, NC 27262

NPI Registry JSON

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529366400000",
    "number": "1356835789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 N LINDSAY ST",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272624303",
            "telephone_number": "336-883-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 LINDSAY ST FL 2",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272624961",
            "telephone_number": "336-883-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETERS PATHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-19",
        "last_updated": "2018-06-19",
        "status": "A",
        "authorized_official_last_name": "CAREY",
        "authorized_official_first_name": "ELISE",
        "authorized_official_middle_name": "PETERS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-883-0029"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "246RH0600X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Histology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.