Prime Pathology Laboratories, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PRIME PATHOLOGY LABORATORIES, LLC

Practice address

6429 Miller St
Suite C
Arvada, CO 80004-2810

Phone

(303) 432-7855

NPI assigned

May 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ward M Newcomb, M.D.NPI 1144233156

Title

President

Phone

(785) 621-2041

Specialties & licenses 1

Addresses

Other identifiers 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Kansas Pathology Services, LLC

  • Clinical Medical Laboratory
  • Hays, KS
  • NPI 1144311986

  Member Of

  NPD member

Locations

Practitioners 1

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

• Ward Melvin Newcomb, MD

  • Clinical Pathology/Laboratory Medicine Physician
  • Englewood, CO
  • NPI 1144233156
  NPD (past) Authorized official

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199318400000",
    "number": "1518914258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3464 S WILLOW ST",
            "address_2": "#604",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802314531",
            "telephone_number": "303-755-2900",
            "fax_number": "303-755-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6429 MILLER ST",
            "address_2": "SUITE C",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800042810",
            "telephone_number": "303-432-7855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME PATHOLOGY LABORATORIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2008-01-03",
        "status": "A",
        "authorized_official_last_name": "NEWCOMB",
        "authorized_official_first_name": "WARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "785-621-2041",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60407549",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Melanie Pryor, PHARMD
• Nicole Psilas, C PEER SPECIALIST
• Andrew Pugh, MD

• Clinical Medical Laboratory in Arvada, CO
• Providers in Arvada, CO by specialty
• Clinical Medical Laboratory in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.

Verify at the official NPI Registry.