Ccrmed Inc Corp

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

46D0992374 Issued in UT

Legal business name

CCRMED INC CORP

Doing business as

central utah pathology

Practice address

1000 Highway 6
Payson, UT 84651-1600

Phone

(888) 818-8656

NPI assigned

Aug 10, 2010

Last updated

Aug 10, 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

Ross Carey, M.D.

Title

President

Phone

(888) 818-8656

Specialties & licenses 1

Addresses

Other names 1

• central utah pathology Doing business as

Tax ID family

Ccrmed 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.

• Ccrmed Inc

  dba central utah pathology

  • Clinical Medical Laboratory
  • Payson, UT
  • NPI 1598079154
  NPD tax ID
• Ccrmed Inc

  dba central utah pathology

  • Clinical Medical Laboratory
  • West Hills, CA
  • NPI 1093044604
  NPD tax ID

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281398400000",
    "number": "1881909265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23705 VANOWEN ST",
            "address_2": "STE 151",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913073030",
            "telephone_number": "888-818-8656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HIGHWAY 6",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "846511600",
            "telephone_number": "888-818-8656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCRMED INC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-10",
        "last_updated": "2010-08-10",
        "status": "A",
        "authorized_official_last_name": "CAREY",
        "authorized_official_first_name": "ROSS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-818-8656",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "UT",
            "license": "46D0992374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "central utah pathology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Holly Lee Carter, APRN, FNP
• Cascade Family Dental
• John Frederick Catlett Jr., LPC
• Taylar Karleen Cazier
• Ccrmed Inc (central utah pathology)
• Central Utah Clinic, P.C. (Revere Health)
• Central Utah Clinic, P.C. (Revere Health)
• Central Utah Optical (Excel Optical)
• Central Utah Pathology LLC
• Stephen Bret Chipman, MD

• Clinical Medical Laboratory in Payson, UT
• Providers in Payson, UT by specialty
• Clinical Medical Laboratory in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.