Organization Active NPI

Northern Medical Group, Inc

Doing business as Northern Diagnostic Pathology

  • Anatomic Pathology Physician
  • Redding, CA
National Provider Identifier
1730168154
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
Legal business name
NORTHERN MEDICAL GROUP, INC
Doing business as
Northern Diagnostic Pathology
Practice address
2145 Court St
Redding, CA 96001
Phone
(530) 243-7030
Fax
(530) 241-1335
NPI assigned
Jan 13, 2006
Last updated
Jul 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Authorized official

Name
Stacey Rawlins
Title
Billing
Phone
(530) 243-7030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X NU Primary

Addresses

Primary practice location

2145 Court St
Redding, CA 96001

Mailing address

2145 Court St
Redding, CA 96001
Phone (530) 243-7030

Other names 1

  • Northern Diagnostic Pathology Doing business as

National Provider Directory

National Provider Directory

Locations

2145 Court St
Redding, CA 96001
Phone (530) 243-7030

NPI Registry JSON

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1730168154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2145 COURT ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "96001",
            "telephone_number": "530-243-7030",
            "fax_number": "530-241-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 COURT ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "96001",
            "telephone_number": "530-243-7030",
            "fax_number": "530-241-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-13",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "RAWLINS",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "530-243-7030"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern Diagnostic Pathology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.