Active NPI
Clin-Path Pathology
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
National Provider Identifier
1922079706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- Legal business name
- CLIN-PATH PATHOLOGY
- Practice address
- 424 S 56TH St Ste 110
Phoenix, AZ 85034-2177 - Phone
- (602) 685-5211
- Fax
- (602) 685-5325
- NPI assigned
- Jan 30, 2006
- Organization subpart
- Yes
- Parent organization
- CLIN-PATH ASSOCIATES, PLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Bea Sonthipanya
- Title
- Credentialing Manager
- Phone
- (480) 478-8057
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | Primary | ||
| Clinical Medical Laboratory | 291U00000X |
Addresses
Primary practice location
424 S 56TH St Ste 110
Phoenix, AZ 85034-2177
Mailing address
PO Box 29650
Dept #880445
Phoenix, AZ 85038
Phone (623) 266-7770
Other practice location 1
1930 E Thomas Rd
Phoenix, AZ 85016-7711
Phone (602) 685-5211
Other practice location 2
3555 S Val Vista Dr
Gilbert, AZ 85297-7323
Phone (602) 685-5211
Other practice location 3
3929 E Bell Rd
Phoenix, AZ 85032-2112
Phone (602) 685-5211
Other practice location 4
13677 W McDowell Rd
Goodyear, AZ 85395-2635
Phone (602) 685-5211
Other practice location 5
1955 W Frye Rd
Chandler, AZ 85224-6282
Phone (602) 685-5211
Other practice location 6
2200 E Show Low Lake Rd
Show Low, AZ 85901-7831
Phone (602) 685-5211
Other practice location 7
1301 S Crismon Rd
Mesa, AZ 85209-3767
Phone (602) 685-5211
Other practice location 8
1500 S Mill Ave
Tempe, AZ 85281-6699
Phone (602) 685-5211
Other practice location 9
2109 S 48th St
Tempe, AZ 85282-1018
Phone (602) 685-5211
Other practice location 10
18701 N 67th Ave
Glendale, AZ 85308-7100
Phone (602) 685-5211
Other practice location 11
2000 W Bethany Home Rd
Phoenix, AZ 85015-2443
Phone (602) 685-5211
Other practice location 12
4313 E Cotton Center Blvd Ste 120
Phoenix, AZ 85040-8856
Phone (602) 424-2889
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 647787 | Medicaid | AZ |
Other names 1
- CLIN-PATH PATHOLOGY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040401000920 | AZ | Part B Supplier - Clinic/Group Practice | 5193717866 |
Receives reassigned benefits from 53 practitioners Practice locations: Phoenix, AZ; Tempe, AZ; Show Low, AZ; Mesa, AZ; Goodyear, AZ; Glendale, AZ; Gilbert, AZ; Chandler, AZ |
National Provider Directory
National Provider DirectoryLocations
1150 N Country Club Dr
Ste 6
Mesa, AZ 85201
Phone (480) 962-1050
424 S 56th St
Ste 110
Phoenix, AZ 85034
Phone (480) 478-8057
4313 E Cotton Center Blvd
Ste 120
Phoenix, AZ 85040
Phone (480) 478-8000
2109 S 48th St
Tempe, AZ 85282
Practitioners & affiliated clinicians
Practitioners 68
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1336751403
Anatomic Pathology & Clinical Pathology, AZ
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1053391862
Anatomic Pathology & Clinical Pathology, AZ
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1891930582
Anatomic Pathology & Clinical Pathology, AZ
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1942505458
Anatomic Pathology & Clinical Pathology, AZ
-
- Anatomic Pathology & Clinical Pathology Physician
- Gilbert, AZ
- NPI 1124008982
Anatomic Pathology & Clinical Pathology, AZ
-
- Anatomic Pathology & Clinical Pathology Physician
- Gilbert, AZ
- NPI 1427368778
AZ, Single Specialty
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1174986145
Anatomic Pathology & Clinical Pathology, AZ
-
- Anatomic Pathology & Clinical Pathology Physician
- Mesa, AZ
- NPI 1366422131
Anatomic Pathology & Clinical Pathology, AZ
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739318400000",
"number": "1922079706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 29650",
"address_2": "DEPT #880445",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85038",
"telephone_number": "623-266-7770",
"fax_number": "623-322-4639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "424 S 56TH ST STE 110",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850342177",
"telephone_number": "602-685-5211",
"fax_number": "602-685-5325"
}
],
"practiceLocations": [
{
"address_1": "1930 E Thomas Rd",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850167711",
"country_code": "US",
"telephone_number": "602-685-5211",
"fax_number": "602-685-5325",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3555 S Val Vista Dr",
"address_purpose": "LOCATION",
"city": "Gilbert",
"state": "AZ",
"postal_code": "852977323",
"country_code": "US",
"telephone_number": "602-685-5211",
"fax_number": "602-685-5325",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3929 E Bell Rd",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850322112",
"country_code": "US",
"telephone_number": "602-685-5211",
"fax_number": "602-685-5325",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13677 W McDowell Rd",
"address_purpose": "LOCATION",
"city": "Goodyear",
"state": "AZ",
"postal_code": "853952635",
"country_code": "US",
"telephone_number": "602-685-5211",
"fax_number": "602-685-5325",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1955 W Frye Rd",
"address_purpose": "LOCATION",
"city": "Chandler",
"state": "AZ",
"postal_code": "852246282",
"country_code": "US",
"telephone_number": "602-685-5211",
"fax_number": "602-685-5325",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2200 E Show Low Lake Rd",
"address_purpose": "LOCATION",
"city": "Show Low",
"state": "AZ",
"postal_code": "859017831",
"country_code": "US",
"telephone_number": "602-685-5211",
"fax_number": "602-685-5325",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1301 S Crismon Rd",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852093767",
"country_code": "US",
"telephone_number": "602-685-5211",
"fax_number": "602-685-5325",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1500 S Mill Ave",
"address_purpose": "LOCATION",
"city": "Tempe",
"state": "AZ",
"postal_code": "852816699",
"country_code": "US",
"telephone_number": "602-685-5211",
"fax_number": "602-685-5325",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2109 S 48th St",
"address_purpose": "LOCATION",
"city": "Tempe",
"state": "AZ",
"postal_code": "852821018",
"country_code": "US",
"telephone_number": "602-685-5211",
"fax_number": "602-685-5325",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "18701 N 67th Ave",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "AZ",
"postal_code": "853087100",
"country_code": "US",
"telephone_number": "602-685-5211",
"fax_number": "602-685-5325",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2000 W Bethany Home Rd",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850152443",
"country_code": "US",
"telephone_number": "602-685-5211",
"fax_number": "602-685-5325",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4313 E Cotton Center Blvd Ste 120",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850408856",
"country_code": "US",
"telephone_number": "602-424-2889",
"fax_number": "480-478-8091",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CLIN-PATH PATHOLOGY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CLIN-PATH ASSOCIATES, PLC",
"enumeration_date": "2006-01-30",
"last_updated": "2025-02-12",
"certification_date": "2025-02-12",
"status": "A",
"authorized_official_last_name": "SONTHIPANYA",
"authorized_official_first_name": "BEA",
"authorized_official_title_or_position": "CREDENTIALING MANAGER",
"authorized_official_telephone_number": "480-478-8057",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": null,
"license": null,
"primary": true
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "647787",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CLIN-PATH PATHOLOGY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.