NPIMap

Organization Active NPI

Pathologists Medical Laboratory, P.a.

  • Clinical Medical Laboratory
  • Asheville, NC
National Provider Identifier
1477519148
Registry record updated Mar 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PATHOLOGISTS MEDICAL LABORATORY, P.A.
Practice address
10 Medical Park Dr
Asheville, NC 28803
Phone
(828) 253-0762
Fax
(828) 254-4892
NPI assigned
Apr 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2020

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

Authorized official

Name
Stacey Neal, MDNPI 1205880077
Title
MD
Phone
(828) 253-0762

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 NC Primary

Addresses

Primary practice location

10 Medical Park Dr
Asheville, NC 28803

Mailing address

PO Box 17147
Chapel Hill, NC 27516-7147
Phone (866) 497-8328

Other identifiers 2

IdentifierTypeStateIssuer
2366OtherNCBCBS NC
8900303MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050802001138 NC Part B Supplier - Independent Clinical Laboratory 7911935713 Receives reassigned benefits from 3 practitioners
Practice locations: Asheville, NC

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
34D0248303Pathologists Medical Laboratory, PA10 Medical Park Drive, Asheville, NC 28803AccreditationApr 11, 2027

National Provider Directory

National Provider Directory

Locations

10 Medical Park Dr
Ste 100
Asheville, NC 28803
Phone (704) 253-0762

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585180800000",
    "number": "1477519148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17147",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275167147",
            "telephone_number": "866-497-8328",
            "fax_number": "919-967-6647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MEDICAL PARK DR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "28803",
            "telephone_number": "828-253-0762",
            "fax_number": "828-254-4892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHOLOGISTS MEDICAL LABORATORY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-21",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "828-253-0762",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "2366",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8900303",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; 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.