Active NPI
Interpace Diagnostics Corporation
- Clinical Medical Laboratory
- Pittsburgh, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 39D1024654
- Legal business name
- INTERPACE DIAGNOSTICS CORPORATION
- Practice address
- 2515 Liberty Ave
Pittsburgh, PA 15222-4613 - Phone
- (412) 224-6100
- Fax
- (412) 224-6110
- NPI assigned
- May 11, 2006
- Last updated
- Jun 29, 2021
- 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
- Thomas W Burnell
- Title
- President and Ceo
- Phone
- (402) 613-4184
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 39D1024654 | PA | Primary |
Addresses
Primary practice location
2515 Liberty Ave
Pittsburgh, PA 15222-4613
Mailing address
2515 Liberty Ave
Pittsburgh, PA 15222-4613
Phone (412) 224-6100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101-855-645-000-1 | Medicaid | PA | |
| 001686800 | Other | PA | HIGHMARK BS |
Other names 1
- RedPath Integrated Pathology, Inc.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041122000073 | PA | Part B Supplier - Independent Clinical Laboratory | 4981669777 | Practice locations: Pittsburgh, PA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D1024654 | Interpace Diagnostics Corporation | Accreditation | Oct 3, 2027 |
National Provider Directory
National Provider DirectoryLocations
2515 Liberty Ave
Pittsburgh, PA 15222
Phone (412) 224-6100
816 Middle St
Fl 2
Pittsburgh, PA 15212
Phone (412) 231-3600
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Pittsburgh, PA
- NPI 1336497379
-
- Anatomic Pathology Physician
- Pittsburgh, PA
- NPI 1508921289
-
- Medical Geneticist (PhD) Specialist/Technologist
- Pittsburgh, PA
- NPI 1982675443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624924800000",
"number": "1609826304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2515 LIBERTY AVE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152224613",
"telephone_number": "412-224-6100",
"fax_number": "412-224-6110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2515 LIBERTY AVE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152224613",
"telephone_number": "412-224-6100",
"fax_number": "412-224-6110"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTERPACE DIAGNOSTICS CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-11",
"last_updated": "2021-06-29",
"certification_date": "2021-06-29",
"status": "A",
"authorized_official_last_name": "BURNELL",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT AND CEO",
"authorized_official_telephone_number": "402-613-4184"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PA",
"license": "39D1024654",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101-855-645-000-1",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BS",
"identifier": "001686800",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "RedPath Integrated Pathology, Inc.",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "RedPath Integrated Pathology, Inc.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Pittsburgh, PA
- Interim Healthcare of Pittsburgh, Inc.
- Interim Healthcare Palliative Care of the Midwest, Inc
- Camille Joi Interligi, PSY.D.
- Internal Medicine
- Internal Medicine/Richard Gobao, M.D./L.L.C
- Ashley Marie Interrante, ATC, PES, CSS, NREMT
- Christine Interrante
- Jarrod Interval, CRNA
- Intervention Fundamentals
- Giuseppe Intini, D.D.S., PH.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.