Path Prime, LLC

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

PATH PRIME, LLC

Practice address

945 S Orem Blvd
Orem, UT 84058-5011

Phone

(801) 225-5409

Fax

(801) 225-5623

NPI assigned

Feb 7, 2018

Organization subpart

No

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

Authorized official

Name

Gregory Osmond, MD

Title

Manager

Phone

(801) 225-5409

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1517961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517961600000",
    "number": "1912406752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 S OREM BLVD",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840585011",
            "telephone_number": "801-225-5409",
            "fax_number": "801-225-5623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 S OREM BLVD",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840585011",
            "telephone_number": "801-225-5409",
            "fax_number": "801-225-5623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATH PRIME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-07",
        "last_updated": "2018-02-07",
        "status": "A",
        "authorized_official_last_name": "OSMOND",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "801-225-5409",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NONE",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Passmore
• Fiaavae Betty Patane-Laititi, LPN
• Kyle Pate
• Pratik Patel
• Sharon Patey
• Pathways Counseling Services
• Holly Tileahrose Patterson I, MSWI
• Daniel R Patty, DPM
• Paul M Urie MD PHD PC
• Stacy Paul

• Anatomic Pathology & Clinical Pathology Physician in Orem, UT
• Providers in Orem, UT by specialty
• Anatomic Pathology & Clinical Pathology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2018; 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.