Organization Active NPI

Pathology Consultants, PC

Doing business as Open Sky Laboratory

  • Clinical Medical Laboratory
  • West Fargo, ND
National Provider Identifier
1427802586
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PATHOLOGY CONSULTANTS, PC
Doing business as
Open Sky Laboratory
Practice address
3901 4TH St E
West Fargo, ND 58078-2865
Phone
(701) 222-2480
NPI assigned
Apr 15, 2024
Last updated
Apr 15, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
PATHOLOGY CONSULTANTS, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Authorized official

Name
Jared Lee SchmidtNPI 1154475101
Title
President
Phone
(701) 222-2480

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

3901 4TH St E
West Fargo, ND 58078-2865

Mailing address

PO Box 2036
Bismarck, ND 58502-2036
Phone (701) 222-2480

Other names 1

  • Open Sky Laboratory Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060119000562 ND Part B Supplier - Independent Clinical Laboratory 2466411525 1 other NPI on this enrollment
Practice locations: West Fargo, ND

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
35D2303413Pathology Consultants, PC Dba Open Sky Laboratory3901 4TH St E, West Fargo, ND 58078ComplianceMar 9, 2027

National Provider Directory

National Provider Directory
Part of
Pathology Consultants P

Locations

3502 Franklin Ave
Bismarck, ND 58503
Phone (701) 222-2480

3901 4th St E
West Fargo, ND 58078
Phone (701) 222-2480

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 5

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": "1713139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1427802586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2036",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585022036",
            "telephone_number": "701-222-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 4TH ST E",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580782865",
            "telephone_number": "701-222-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHOLOGY CONSULTANTS, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PATHOLOGY CONSULTANTS, PC",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-222-2480"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Open Sky Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.