NPIMap

Organization Active NPI

Monolith Diagnostics, PC

  • Anatomic Pathology Physician
  • Kingman, AZ
National Provider Identifier
1386190718
Registry record updated Oct 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
47589 Issued in AZ
Legal business name
MONOLITH DIAGNOSTICS, PC
Practice address
1740 Sycamore Ave
Ste. C
Kingman, AZ 86409-0942
Phone
(928) 263-3706
Fax
(928) 263-3604
NPI assigned
Aug 26, 2016
Last updated
Oct 30, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2018

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

Authorized official

Name
Ryan E Swapp
Title
President
Phone
(928) 263-3706

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X 47589 AZ Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 47589 AZ

Addresses

Primary practice location

1740 Sycamore Ave
Ste. C
Kingman, AZ 86409-0942

Mailing address

PO Box 6024
Kingman, AZ 86402-6024
Phone (928) 263-3706

Other identifiers 1

IdentifierTypeStateIssuer
220494MedicaidAZ

National Provider Directory

National Provider Directory

Locations

850 N 5th St
Ste 408
Phoenix, AZ 85004
Phone (435) 251-2208

Practitioners & affiliated clinicians

Practitioners 9

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": "1472169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540857600000",
    "number": "1386190718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6024",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864026024",
            "telephone_number": "928-263-3706",
            "fax_number": "928-263-3604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 SYCAMORE AVE",
            "address_2": "STE. C",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864090942",
            "telephone_number": "928-263-3706",
            "fax_number": "928-263-3604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONOLITH DIAGNOSTICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-26",
        "last_updated": "2018-10-30",
        "status": "A",
        "authorized_official_last_name": "SWAPP",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-263-3706"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "AZ",
            "license": "47589",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AZ",
            "license": "47589",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "220494",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingman, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.