Active NPI
Lewiston-Auburn Pathology
- Anatomic Pathology & Clinical Pathology Physician
- Lewiston, ME
National Provider Identifier
1972580850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- Legal business name
- LEWISTON-AUBURN PATHOLOGY
- Practice address
- 100 Campus Ave
Lewiston, ME 04240-6040 - Phone
- (207) 777-8400
- NPI assigned
- Dec 30, 2005
- 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
- Richard Malone, M.D.
- Title
- President
- Phone
- (207) 784-2554
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | Primary |
Addresses
Primary practice location
100 Campus Ave
Lewiston, ME 04240-6040
Mailing address
PO Box 1849
Lewiston, ME 04241-1849
Phone (207) 784-2554
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Lewiston, ME
- NPI 1184792947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135900800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184544000000",
"number": "1972580850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1849",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042411849",
"telephone_number": "207-784-2554",
"fax_number": "207-777-5363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CAMPUS AVE",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042406040",
"telephone_number": "207-777-8400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEWISTON-AUBURN PATHOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-30",
"last_updated": "2007-07-16",
"status": "A",
"authorized_official_last_name": "MALONE",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "207-784-2554",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lewiston, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.