Active NPI
LMD Path, Inc
- Anatomic Pathology & Clinical Pathology Physician
- Provo, UT
National Provider Identifier
1659746535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 52983651205
- Legal business name
- LMD PATH, INC
- Practice address
- 1018 S 350 E
Provo, UT 84606-6152 - Phone
- (844) 987-2267
- Fax
- (844) 266-9834
- NPI assigned
- Dec 3, 2015
- 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
- Mr. Jim Douglas, CPA
- Title
- Accountant
- Phone
- (844) 987-2267
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 52983651205 | UT | Primary |
Addresses
Primary practice location
1018 S 350 E
Provo, UT 84606-6152
Mailing address
PO Box 143
Provo, UT 84603-0143
Phone (844) 987-2267
National Provider Directory
National Provider Directory- Tax ID family
- LMD Path Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Anatomic Pathology & Clinical Pathology Physician
- Orem, UT
- NPI 1366823189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1449100800000",
"number": "1659746535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 143",
"city": "PROVO",
"state": "UT",
"postal_code": "846030143",
"telephone_number": "844-987-2267",
"fax_number": "844-266-9834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1018 S 350 E",
"city": "PROVO",
"state": "UT",
"postal_code": "846066152",
"telephone_number": "844-987-2267",
"fax_number": "844-266-9834"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LMD PATH, INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-03",
"last_updated": "2015-12-03",
"status": "A",
"authorized_official_last_name": "DOUGLAS",
"authorized_official_first_name": "JIM",
"authorized_official_title_or_position": "ACCOUNTANT",
"authorized_official_telephone_number": "844-987-2267",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CPA"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "UT",
"license": "52983651205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.