Organization Active NPI

Pathology, Inc.

  • Clinical Medical Laboratory
  • Wood Dale, IL
National Provider Identifier
1407111479
Registry record updated Jul 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
14D2041305 Issued in IL
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

Updated by the provider on Jul 5, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
GR0092020MedicaidCA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.