Southwest Pathology PLLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

SOUTHWEST PATHOLOGY PLLC

Practice address

6101 S Rural Rd
Ste 102
Tempe, AZ 85283-2910

Phone

(480) 878-5224

Fax

(480) 427-3922

NPI assigned

Aug 18, 2014

Organization subpart

No

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

Authorized official

Name

Puja Verma, MD

Title

Director

Phone

(480) 878-5224

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408320000000",
    "number": "1407255201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 S RURAL RD",
            "address_2": "STE 102",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852832910",
            "telephone_number": "480-878-5224",
            "fax_number": "480-427-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 S RURAL RD",
            "address_2": "STE 102",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852832910",
            "telephone_number": "480-878-5224",
            "fax_number": "480-427-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST PATHOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-18",
        "last_updated": "2014-08-18",
        "status": "A",
        "authorized_official_last_name": "VERMA",
        "authorized_official_first_name": "PUJA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "480-878-5224",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Clinical Medical Laboratory in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; 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.