NPIMap

Organization Active NPI

Tucson Pathology Associates P.C.

  • Clinical Medical Laboratory
  • Tucson, AZ
National Provider Identifier
1912093873
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
207ZP0105X Issued in AZ
Legal business name
TUCSON PATHOLOGY ASSOCIATES P.C.
Practice address
7350 E Speedway Blvd
Tucson, AZ 85710-1364
Phone
(520) 396-4757
Fax
(520) 207-7986
NPI assigned
Oct 5, 2006
Last updated
Oct 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2016

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

Authorized official

Name
Robert De la Torre
Title
C.O.O.
Phone
(602) 685-5211

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
Clinical Medical Laboratory 291U00000X 207ZP0105X AZ Primary

Addresses

Primary practice location

7350 E Speedway Blvd
Tucson, AZ 85710-1364

Mailing address

PO Box 42210
Phoenix, AZ 85080-2210
Phone (623) 889-7403

Other identifiers 1

IdentifierTypeStateIssuer
298110MedicaidAZ

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
03D2114470Tucson Pathology Lab7350 E Speedway Blvd Ste 101, Tucson, AZ 85710AccreditationApr 9, 2027

National Provider Directory

National Provider Directory

Locations

7350 E Speedway Blvd
Tucson, AZ 85710
Phone (520) 396-4757

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477440000000",
    "number": "1912093873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42210",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850802210",
            "telephone_number": "623-889-7403",
            "fax_number": "623-889-7407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7350 E SPEEDWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857101364",
            "telephone_number": "520-396-4757",
            "fax_number": "520-207-7986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUCSON PATHOLOGY ASSOCIATES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2016-10-26",
        "status": "A",
        "authorized_official_last_name": "DE LA TORRE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "C.O.O.",
        "authorized_official_telephone_number": "602-685-5211"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "AZ",
            "license": "207ZP0105X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "298110",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; 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.