Active NPI
Comprehensive Pathology Services LC
- Specialist
- Fenton, MO
National Provider Identifier
1609859560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- COMPREHENSIVE PATHOLOGY SERVICES LC
- Practice address
- 1015 Bowles Ave
Fenton, MO 63026-2394 - Phone
- (636) 496-2720
- Fax
- (314) 821-1833
- NPI assigned
- Nov 23, 2005
- Last updated
- Mar 12, 2025
- 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
- Kathryn Law, M.D.
- Title
- Director
- Phone
- (314) 768-8202
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary | ||
| Clinical Medical Laboratory | 291U00000X | 26D0045374 | MO | |
| Clinical Medical Laboratory | 291U00000X | 26D0437653 | MO |
Addresses
Primary practice location
1015 Bowles Ave
Fenton, MO 63026-2394
Mailing address
PO Box 842049
Kansas Ciy, MO 64184-2049
Phone (314) 821-8055
Other practice location 1
12303 Depaul Drive
St Louis, MO 63044-2512
Phone (314) 821-8055
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29381 | Other | GHP | |
| 042938 | Other | MO | HEALTH ALLIANCE |
| 208837211 | Medicaid | MO | |
| 373987 | Other | HEALTH LINK | |
| 7556 | Other | MO | HEALTHCARE USA |
| CI2882 | Other | TRAVELERS | |
| 9801344 | Other | UHC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 8
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.
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-
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- NPI 1780932517
-
- Anatomic Pathology & Clinical Pathology Physician
- Saint Louis, MO
- NPI 1821071978
-
- Anatomic Pathology & Clinical Pathology Physician
- Saint Louis, MO
- NPI 1013113471
-
- Interventional Cardiology Physician
- Bridgeton, MO
- NPI 1871551887
-
- Cardiovascular Disease Physician
- Bridgeton, MO
- NPI 1215994892
-
- Cardiovascular Disease Physician
- Saint Louis, MO
- NPI 1720071244
-
- Cardiovascular Disease Physician
- Bridgeton, MO
- NPI 1255399267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132704000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741737600000",
"number": "1609859560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 842049",
"city": "KANSAS CIY",
"state": "MO",
"postal_code": "641842049",
"telephone_number": "314-821-8055",
"fax_number": "314-821-1833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 BOWLES AVE",
"city": "FENTON",
"state": "MO",
"postal_code": "630262394",
"telephone_number": "636-496-2720",
"fax_number": "314-821-1833"
}
],
"practiceLocations": [
{
"address_1": "12303 DEPAUL DRIVE",
"address_purpose": "LOCATION",
"city": "ST LOUIS",
"state": "MO",
"postal_code": "630442512",
"country_code": "US",
"telephone_number": "314-821-8055",
"fax_number": "314-821-1833",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "COMPREHENSIVE PATHOLOGY SERVICES LC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-23",
"last_updated": "2025-03-12",
"certification_date": "2025-03-12",
"status": "A",
"authorized_official_last_name": "LAW",
"authorized_official_first_name": "KATHRYN",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "314-768-8202",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "MO",
"license": "26D0045374",
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "MO",
"license": "26D0437653",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHP",
"identifier": "29381",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE",
"identifier": "042938",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "208837211",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH LINK",
"identifier": "373987",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHCARE USA",
"identifier": "7556",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRAVELERS",
"identifier": "CI2882",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "9801344",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Fenton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.