Pathology Arts Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

05D1000595 Issued in CA

Legal business name

PATHOLOGY ARTS INC

Practice address

549 Queensland Cir Ste 101
Corona, CA 92879-1397

Phone

(951) 270-0605

Fax

(951) 270-0675

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Curtis Lee TagueNPI 1376640482

Title

Ceo

Phone

(951) 270-0605

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Curtis Tague

  • Medical Technologist
  • San Bernardino, CA
  • NPI 1376640482
  NPD Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1396842472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 800247",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913800247",
            "telephone_number": "661-705-3440",
            "fax_number": "661-310-0478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 QUEENSLAND CIR STE 101",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928791397",
            "telephone_number": "951-270-0605",
            "fax_number": "951-270-0675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHOLOGY ARTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2024-03-27",
        "certification_date": "2021-06-16",
        "status": "A",
        "authorized_official_last_name": "TAGUE",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-270-0605"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "05D1000595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL LAB LICENSE",
            "identifier": "CLF00011735",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D1000595",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD/BLUE CROSS",
            "identifier": "ZZZ67434Z",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sima Patel, PA-C
• Taral A Patel, MD
• Trina Patel, O.D.
• Varsha Hitesh Patel, MD
• Pathcare Diagnostics Inc.
• Edgar Patino
• Patricia Ann Bogema DO Inc
• Kylie Lei Patrick
• Aliya Patterson
• Dominique J Patterson

• Clinical Medical Laboratory in Corona, CA
• Providers in Corona, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.