Organization Active NPI

Associates of Pathology, P.C.

  • Anatomic Pathology & Clinical Pathology Physician
  • Ogden, UT
National Provider Identifier
1760679443
Registry record updated Mar 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
46D0660903 Issued in UT
Legal business name
ASSOCIATES OF PATHOLOGY, P.C.
Practice address
5475 S 500 E
Ogden, UT 84405-6905
Phone
(435) 734-0101
Fax
(801) 317-4872
NPI assigned
Sep 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2018

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

Authorized official

Name
Kristine Berrett
Title
Office Manager
Phone
(435) 734-0101

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZP0102X 46D0660903 UT Primary
Clinical Pathology/Laboratory Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZP0105X 46D0660903 UT

Addresses

Primary practice location

5475 S 500 E
Ogden, UT 84405-6905

Mailing address

6112 S 1550 E Ste 3
South Ogden, UT 84405-5018
Phone (435) 734-0101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031120000453 UT Part B Supplier - Clinic/Group Practice 0840194072 Receives reassigned benefits from 5 practitioners
Practice locations: Ogden, UT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D2270825Associates of Pathology5475 South 500 East, Ogden, UT 84405ComplianceOct 12, 2027

National Provider Directory

National Provider Directory

Locations

5475 S 500 E
Ste A
Ogden, UT 84405
Phone (801) 479-2390

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522281600000",
    "number": "1760679443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6112 S 1550 E STE 3",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844055018",
            "telephone_number": "435-734-0101",
            "fax_number": "801-317-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5475 S 500 E",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844056905",
            "telephone_number": "435-734-0101",
            "fax_number": "801-317-4872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES OF PATHOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2018-03-29",
        "status": "A",
        "authorized_official_last_name": "BERRETT",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "435-734-0101"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "UT",
            "license": "46D0660903",
            "primary": true
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "UT",
            "license": "46D0660903",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.