Organization Active NPI

Surgical Pathology Consultants, Inc.

  • Histology Specialist/Technologist
  • Glendale, AZ
National Provider Identifier
1427117472
Registry record updated May 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Histology Specialist/TechnologistTaxonomy code 246QH0600X
License
10975 Issued in AZ
Legal business name
SURGICAL PATHOLOGY CONSULTANTS, INC.
Practice address
5422 W Thunderbird Rd
#13
Glendale, AZ 85306-4700
Phone
(602) 547-1024
Fax
(623) 606-2458
NPI assigned
Dec 6, 2006
Last updated
May 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2010

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

Authorized official

Name
Phil Sampaio
Title
Office Manager
Phone
(602) 547-1024

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Histology Specialist/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 246QH0600X 10975 AZ Primary

Addresses

Primary practice location

5422 W Thunderbird Rd
#13
Glendale, AZ 85306-4700

Mailing address

5422 W Thunderbird Rd
#13
Glendale, AZ 85306-4700
Phone (602) 547-1024

Other identifiers 1

IdentifierTypeStateIssuer
Z3D0877316OtherAZPTAN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273104000000",
    "number": "1427117472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5422 W THUNDERBIRD RD",
            "address_2": "#13",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064700",
            "telephone_number": "602-547-1024",
            "fax_number": "623-606-2458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5422 W THUNDERBIRD RD",
            "address_2": "#13",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064700",
            "telephone_number": "602-547-1024",
            "fax_number": "623-606-2458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL PATHOLOGY CONSULTANTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2010-05-06",
        "status": "A",
        "authorized_official_last_name": "SAMPAIO",
        "authorized_official_first_name": "PHIL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "602-547-1024"
    },
    "taxonomies": [
        {
            "code": "246QH0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Pathology, Histology",
            "state": "AZ",
            "license": "10975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "Z3D0877316",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2010; 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.