Active NPI
Lake Plains Pathology, LLC
- Anatomic Pathology & Clinical Pathology Physician
- Warsaw, NY
National Provider Identifier
1659300218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- Legal business name
- LAKE PLAINS PATHOLOGY, LLC
- Practice address
- 400 N Main St
Warsaw, NY 14569-1025 - Phone
- (585) 786-2233
- Fax
- (716) 692-4342
- NPI assigned
- Jul 3, 2006
- Last updated
- Aug 22, 2020
- 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
- Jerry Mendlowski, MD
- Title
- Prisident
- Phone
- (585) 786-2233
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | Primary |
Addresses
Primary practice location
400 N Main St
Warsaw, NY 14569-1025
Mailing address
908 Niagara Falls Blvd
Suite 208
North Tonawanda, NY 14120-2019
Phone (716) 692-3302
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Specialist
- Warsaw, NY
- NPI 1861455289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1659300218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "908 NIAGARA FALLS BLVD",
"address_2": "SUITE 208",
"city": "NORTH TONAWANDA",
"state": "NY",
"postal_code": "141202019",
"telephone_number": "716-692-3302",
"fax_number": "716-692-4342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N MAIN ST",
"city": "WARSAW",
"state": "NY",
"postal_code": "145691025",
"telephone_number": "585-786-2233",
"fax_number": "716-692-4342"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKE PLAINS PATHOLOGY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MENDLOWSKI",
"authorized_official_first_name": "JERRY",
"authorized_official_title_or_position": "PRISIDENT",
"authorized_official_telephone_number": "585-786-2233",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warsaw, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.