Central Regional Pathology Laboratories PA

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

PF169 Issued in MN

Legal business name

CENTRAL REGIONAL PATHOLOGY LABORATORIES PA

Practice address

2945 Hazelwood Street
Suite 310
Maplewood, MN 55109-1244

Phone

(651) 264-1521

Fax

(651) 264-1661

NPI assigned

May 15, 2006

Organization subpart

No

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

Authorized official

Name

Jamie Lemieux

Title

Business Office Manager

Phone

(651) 264-1521

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• University Park Pathologists Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 8

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

• Michael Ryan McCarthy, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Rochester, MN
  • NPI 1992365332
  Medicare reassignment Care Compare group NPD
• Wen-Wei Chung, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Woodbury, MN
  • NPI 1487672929
  Medicare reassignment Care Compare group
• Joseph P Leverone, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Woodbury, MN
  • NPI 1245262369
  Medicare reassignment Care Compare group
• Kristi Lee Werdin, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Maplewood, MN
  • NPI 1528099538
  Medicare reassignment Care Compare group
• Jaena J Wisniewski, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Maplewood, MN
  • NPI 1710032594
  Medicare reassignment Care Compare group
• Laurence C Berg, MD

  • Clinical Pathology/Laboratory Medicine Physician
  • La Crosse, WI
  • NPI 1437153392

  MN

  Medicare reassignment Care Compare group
• Byron H Simmons, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Maplewood, MN
  • NPI 1225060346
  Medicare reassignment
• Scott Jacob Bartkoski, M.D,

  • Family Medicine Physician
  • Holly Springs, NC
  • NPI 1114365905
  NPD

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1609827484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2945 HAZELWOOD STREET",
            "address_2": "SUITE 310",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "55109",
            "telephone_number": "651-264-1521",
            "fax_number": "651-264-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2945 HAZELWOOD STREET",
            "address_2": "SUITE 310",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091244",
            "telephone_number": "651-264-1521",
            "fax_number": "651-264-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL REGIONAL PATHOLOGY LABORATORIES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2024-06-04",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "LEMIEUX",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "651-264-1521"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MN",
            "license": "PF169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPP MEDICARE GRP",
            "identifier": "C01224",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Park Pathologists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily A Carver, MD
• Karyn Cave
• Catherine Anne Cecconi, PA-C
• Jillian Celestino
• Central Minnesota Home Health Care LLC
• Certified Care Planner LLC
• Jaclyn F Chaffee, M.D.
• Harjit K Chahal, MD, MPH
• Aminata Cham, RN, MSN, ACNS-BC
• Nathaniel Chau

• Anatomic Pathology & Clinical Pathology Physician in Maplewood, MN
• Providers in Maplewood, MN by specialty
• Anatomic Pathology & Clinical Pathology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.