Active NPI
Pathology, Inc.
- Clinical Medical Laboratory
- Wood Dale, IL
National Provider Identifier
1407111479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 14D2041305
- Legal business name
- PATHOLOGY, INC.
- Practice address
- 199 S Addison Rd
Suite 103
Wood Dale, IL 60191-1929 - Phone
- (877) 647-1082
- Fax
- (630) 412-2010
- NPI assigned
- Jul 5, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vicki Difrancesco
- Title
- President & Ceo
- Phone
- (310) 225-3147
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 14D2041305 | IL | Primary |
Addresses
Primary practice location
199 S Addison Rd
Suite 103
Wood Dale, IL 60191-1929
Mailing address
19951 Mariner Ave
Suite 150
Torrance, CA 90503-1672
Phone (310) 769-0561
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0092020 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
231 W Chestnut Ave
Monrovia, CA 91016
Phone (626) 386-5277
19951 Mariner Ave
Ste 150
Torrance, CA 90503
Phone (310) 225-3120
199 S Addison Rd
Ste 103
Wood Dale, IL 60191
Phone (877) 647-1082
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anatomic Pathology Physician
- Torrance, CA
- NPI 1346283546
-
- Cytopathology Physician
- Torrance, CA
- NPI 1912228214
-
- Specialist
- Torrance, CA
- NPI 1902844566
-
- Anatomic Pathology & Clinical Pathology Physician
- Torrance, CA
- NPI 1396781597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341446400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1341446400000",
"number": "1407111479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19951 MARINER AVE",
"address_2": "SUITE 150",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905031672",
"telephone_number": "310-769-0561",
"fax_number": "310-380-7165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "199 S ADDISON RD",
"address_2": "SUITE 103",
"city": "WOOD DALE",
"state": "IL",
"postal_code": "601911929",
"telephone_number": "877-647-1082",
"fax_number": "630-412-2010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATHOLOGY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-05",
"last_updated": "2012-07-05",
"status": "A",
"authorized_official_last_name": "DIFRANCESCO",
"authorized_official_first_name": "VICKI",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "310-225-3147"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "IL",
"license": "14D2041305",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0092020",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wood Dale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.