NPIMap

Organization Active NPI

Marlboro Chesterfield Pathology, PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Pinehurst, NC
National Provider Identifier
1649873647
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
MARLBORO CHESTERFIELD PATHOLOGY, PC
Practice address
30 Page St
Pinehurst, NC 28374-7928
Phone
(910) 687-4188
Fax
(910) 235-0171
NPI assigned
Nov 20, 2020
Organization subpart
Yes
Parent organization
MARLBORO CHESTERFIELD PATHOLOGY, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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

Authorized official

Name
Cynthia Dawn Quick
Title
Billing
Phone
(910) 687-4189

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0102X Primary
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

30 Page St
Pinehurst, NC 28374-7928

Mailing address

PO Box 4270
Pinehurst, NC 28374-4270
Phone (910) 687-4189

Other identifiers 1

IdentifierTypeStateIssuer
42D0713042OtherNCCLIA NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://windopath.mcpathology.com/netoutreach Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Part of
Marlboro Chesterfield

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605830400000",
    "number": "1649873647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4270",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283744270",
            "telephone_number": "910-687-4189",
            "fax_number": "910-235-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PAGE ST",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283747928",
            "telephone_number": "910-687-4188",
            "fax_number": "910-235-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLBORO CHESTERFIELD PATHOLOGY, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARLBORO CHESTERFIELD PATHOLOGY, PC",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-19",
        "status": "A",
        "authorized_official_last_name": "QUICK",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "910-687-4189"
    },
    "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": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA NUMBER",
            "identifier": "42D0713042",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://windopath.mcpathology.com/netoutreach",
            "affiliation": "N",
            "endpointDescription": "LIS reporting system",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "pdf",
            "address_1": "30 Page St",
            "city": "Pinehurst",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283747928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pinehurst, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; 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.