Pathology Processing Laboratory LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

PATHOLOGY PROCESSING LABORATORY LLC

Practice address

710 Alfred Nobel Dr
Hercules, CA 94547-1805

Phone

(510) 662-5214

NPI assigned

Mar 26, 2019

Organization subpart

No

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

Authorized official

Name

Christine Hill

Title

Director of Operations

Phone

(510) 662-5214

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553558400000",
    "number": "1407317175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 ALFRED NOBEL DR",
            "city": "HERCULES",
            "state": "CA",
            "postal_code": "945471805",
            "telephone_number": "510-662-5214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 ALFRED NOBEL DR",
            "city": "HERCULES",
            "state": "CA",
            "postal_code": "945471805",
            "telephone_number": "510-662-5214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHOLOGY PROCESSING LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-26",
        "last_updated": "2019-03-26",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "510-662-5214"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF WYOMING OFFICE OF THE SECR OF STATE",
            "identifier": "2019-000835616",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manuella Orsi
• Norah Otieno
• Helen Paek, O.D.
• Franz Panganiban
• Iraselma Estela Paniagua
• Joyce Penalver
• Andrea Guadalupe Perez Portillo
• Natalie Perez
• Oksana M Peters, PA
• Helaine Barbara Pleet, MD MPH

• Medical Specialty Clinic/Center in Hercules, CA
• Providers in Hercules, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; 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.