Organization Active NPI

Clinical Pathology Associates, LLC

  • Clinical Medical Laboratory
  • Kalispell, MT
National Provider Identifier
1366466856
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
9546 Issued in MT
Legal business name
CLINICAL PATHOLOGY ASSOCIATES, LLC
Practice address
310 Sunnyview LN
Department of Pathology
Kalispell, MT 59901-3129
Phone
(406) 752-1789
Fax
(406) 751-5776
NPI assigned
Jul 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Peter Anthony Fisher Smith, M.D.
Title
Pathologist
Phone
(406) 752-1789

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 9546 MT Primary

Addresses

Primary practice location

310 Sunnyview LN
Department of Pathology
Kalispell, MT 59901-3129

Mailing address

310 Sunnyview LN
Department of Pathology
Kalispell, MT 59901-3129
Phone (406) 752-1789

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366466856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 SUNNYVIEW LN",
            "address_2": "DEPARTMENT OF PATHOLOGY",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013129",
            "telephone_number": "406-752-1789",
            "fax_number": "406-751-5776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 SUNNYVIEW LN",
            "address_2": "DEPARTMENT OF PATHOLOGY",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013129",
            "telephone_number": "406-752-1789",
            "fax_number": "406-751-5776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL PATHOLOGY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "ANTHONY FISHER",
        "authorized_official_title_or_position": "PATHOLOGIST",
        "authorized_official_telephone_number": "406-752-1789",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MT",
            "license": "9546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

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.

Verify at the official NPI Registry.