Organization Active NPI

LMD Path, Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Provo, UT
National Provider Identifier
1659746535
Registry record updated Dec 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
52983651205 Issued in UT
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

Updated by the provider on Dec 3, 2015

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)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.