Pathlab Services Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLF00340712 Issued in CA

Legal business name

PATHLAB SERVICES INC

Practice address

7707 Garden Grove Blvd
Garden Grove, CA 92841-4207

Phone

(714) 902-1762

Fax

(657) 400-9073

NPI assigned

Feb 19, 2011

Last updated

Nov 15, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John C Hiserodt, MDNPI 1235296864

Title

President

Phone

(714) 902-1762

Specialties & licenses 1

Addresses

Locations

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.

• John Chatfield Hiserodt, M.D.

  • Cytopathology Physician
  • Garden Grove, CA
  • NPI 1235296864
  NPD (past) Authorized official

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

{
    "created_epoch": "1298073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510704000000",
    "number": "1447557822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7707 GARDEN GROVE BLVD",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928414207",
            "telephone_number": "714-902-1762",
            "fax_number": "657-400-9073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7707 GARDEN GROVE BLVD",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928414207",
            "telephone_number": "714-902-1762",
            "fax_number": "657-400-9073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHLAB SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-19",
        "last_updated": "2017-11-15",
        "status": "A",
        "authorized_official_last_name": "HISERODT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-902-1762",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF00340712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neelam Patel, RDH
• Nisha Patel
• Nutan J. Patel, P.A.-C.
• Samir Patel, MD
• Shekha Dashrath Patel, RPH
• Pathway Medical Group Inc (Pathway Medical Center- Garden Grove)
• Pathway Medical Group, Inc
• Pathway Medical Group, Inc
• Pathway Medical Group, Inc
• Pathway Medical Group, Inc.

• Clinical Medical Laboratory in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; 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.