Pacific Pathology Associates, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

38D1091741 Issued in OR

Legal business name

PACIFIC PATHOLOGY ASSOCIATES, INC

Practice address

3300 State St
Salem, OR 97301-5063

Phone

(503) 562-1123

Fax

(419) 866-5453

NPI assigned

Dec 3, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Michelle Cheney

Title

Director of Out Reach Services

Phone

(503) 561-2228

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Tax ID family

Pacific Pathology Associates Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Pacific Pathology Associates, Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Salem, OR
  • NPI 1023263647
  NPD tax ID
• Pacific Pathology Associates, Inc.

  • Anatomic Pathology & Clinical Pathology Physician
  • Salem, OR
  • NPI 1205997889
  NPD tax ID

Locations

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

{
    "created_epoch": "1259798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259884800000",
    "number": "1811225865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6930",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972286930",
            "telephone_number": "866-587-6731",
            "fax_number": "419-866-1804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 STATE ST",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973015063",
            "telephone_number": "503-562-1123",
            "fax_number": "419-866-5453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC PATHOLOGY ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-03",
        "last_updated": "2009-12-04",
        "status": "A",
        "authorized_official_last_name": "CHENEY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "DIRECTOR OF OUT REACH SERVICES",
        "authorized_official_telephone_number": "503-561-2228",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OR",
            "license": "38D1091741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Northwest Living LLC
• Pacific Northwest Medical Transport Service, Inc
• Pacific Northwest Sleep Centers, LLC
• Pacific Obstetrics & Gynecology, L.L.C.
• Pacific Pathology Associates, Inc
• Pacific Pathology Associates, Inc.
• Pacific Premier Care Home LLC
• Pacific Recovery Inc
• Pacific Spine & Rehab, LLC
• Samuel William Packham, PA-C

• Clinical Medical Laboratory in Salem, OR
• Providers in Salem, OR by specialty
• Clinical Medical Laboratory in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.