Active NPI
Carroll Pinto Inc
- Anatomic Pathology & Clinical Pathology Physician
- Suffolk, VA
National Provider Identifier
1487767141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- Legal business name
- CARROLL PINTO INC
- Practice address
- 2800 Godwin Blvd
Suffolk, VA 23434-8038 - Phone
- (757) 562-3715
- NPI assigned
- Aug 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Daniel Garland, M.D.
- Title
- President
- Phone
- (757) 562-2684
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | Primary | ||
| Clinical Medical Laboratory | 291U00000X | CLIA #49D0230995 | VA |
Addresses
Primary practice location
2800 Godwin Blvd
Suffolk, VA 23434-8038
Mailing address
PO Box 5468
Martinsville, VA 24115-5468
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89013GU | Medicaid | NC | |
| 740029 | Other | VA | ANTHEM BCBS |
National Provider Directory
National Provider DirectoryLocations
110 Fairview Dr
Ste 109
Franklin, VA 23851
Phone (757) 562-3175
1900 N Main St
Suffolk, VA 23434
Phone (757) 867-6101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215734400000",
"number": "1487767141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5468",
"city": "MARTINSVILLE",
"state": "VA",
"postal_code": "241155468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 GODWIN BLVD",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234348038",
"telephone_number": "757-562-3715"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARROLL PINTO INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-16",
"last_updated": "2008-07-11",
"status": "A",
"authorized_official_last_name": "GARLAND",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "757-562-2684",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": null,
"license": null,
"primary": true
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "VA",
"license": "CLIA #49D0230995",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89013GU",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "740029",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Suffolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.