Cutting Edge Histology Services LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CUTTING EDGE HISTOLOGY SERVICES LLC

Practice address

8192 SW Durham Rd
Tigard, OR 97224-7315

Phone

(503) 268-4805

Fax

(503) 268-4801

NPI assigned

Apr 3, 2008

Last updated

May 7, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. M Vincent Mesa, D.O.

Title

President

Phone

(503) 268-4805

Specialties & licenses 1

Addresses

Other identifiers 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Interpath Laboratory, Inc.

  • Clinical Medical Laboratory
  • Pendleton, OR
  • NPI 1548208440

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Vincent Mesa, DO

  • Anatomic Pathology & Clinical Pathology Physician
  • Tigard, OR
  • NPI 1184744351
  NPD (past)

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

{
    "created_epoch": "1207180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273190400000",
    "number": "1881867596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4207",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972084207",
            "telephone_number": "503-268-4805",
            "fax_number": "503-268-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8192 SW DURHAM RD",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247315",
            "telephone_number": "503-268-4805",
            "fax_number": "503-268-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUTTING EDGE HISTOLOGY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-03",
        "last_updated": "2010-05-07",
        "status": "A",
        "authorized_official_last_name": "MESA",
        "authorized_official_first_name": "M",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-268-4805",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "227673",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Patric Cunningham, PA-C
• Ana Cupp, MSW, LCSW
• Lynne G. Curtis, R.PH.
• Mary Ann Custer, FNP
• Jeffrey S Cutter
• Cynthia Gulick, PC (Southwest Family Physicians)
• Analicia Nicole Czupryk, O.D.
• Stephanie Nicole D'Andrea, AGPCNP
• Emily D'Anna
• Christine Da Rosa

• Clinical Medical Laboratory in Tigard, OR
• Providers in Tigard, 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 May 7, 2010; 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.