Active NPI
Pathology Service Corporation
- Anatomic Pathology & Clinical Pathology Physician
- Eau Claire, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- Legal business name
- PATHOLOGY SERVICE CORPORATION
- Practice address
- 3902 Oakwood Hills Pkwy Ste 2
Eau Claire, WI 54701-7781 - Phone
- (715) 858-3260
- NPI assigned
- May 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert V Ridenour, M.D.
- Title
- Pathologist - President
- Phone
- (715) 858-3260
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Blood Banking & Transfusion Medicine Physician | 207ZB0001X | |||
| Dermatopathology (Pathology) Physician | 207ZD0900X | |||
| Hematology (Pathology) Physician | 207ZH0000X | |||
| Immunopathology Physician | 207ZI0100X | |||
| Neuropathology Physician | 207ZN0500X | |||
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | Primary | ||
| Chemical Pathology Physician | 207ZP0104X | |||
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | |||
| Pediatric Pathology Physician | 207ZP0213X |
Addresses
Primary practice location
3902 Oakwood Hills Pkwy Ste 2
Eau Claire, WI 54701-7781
Mailing address
1235 Menomonie St Ste B
Eau Claire, WI 54703-5974
Phone (715) 832-6445
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32692700 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1470 Rivers Edge Trl
Ste B
Altoona, WI 54720
Phone (715) 379-8718
1220 3rd Ave W
Durand, WI 54736
Phone (715) 642-4211
3902 Oakwood Hills Pkwy
Ste 2
Eau Claire, WI 54701
Phone (715) 797-4369
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Eau Claire, WI
- NPI 1154342392
-
- Blood Banking & Transfusion Medicine Physician
- Eau Claire, WI
- NPI 1134173156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745625600000",
"number": "1972561140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1235 MENOMONIE ST STE B",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547035974",
"telephone_number": "715-832-6445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3902 OAKWOOD HILLS PKWY STE 2",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547017781",
"telephone_number": "715-858-3260"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATHOLOGY SERVICE CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-03",
"last_updated": "2025-04-26",
"certification_date": "2025-04-26",
"status": "A",
"authorized_official_last_name": "RIDENOUR",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "PATHOLOGIST - PRESIDENT",
"authorized_official_telephone_number": "715-858-3260",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207ZB0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pathology, Blood Banking & Transfusion Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZD0900X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pathology, Dermatopathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZH0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pathology, Hematology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZI0100X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pathology, Immunopathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZN0500X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pathology, Neuropathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207ZP0104X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pathology, Chemical Pathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZP0105X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZP0213X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pathology, Pediatric Pathology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32692700",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eau Claire, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.