Cardinal Pathology, PC

Organization Active NPI Anatomic Pathology & Clinical Pathology Physician · Rifle, CO

NPI 1982202230 · NPPES record last updated Oct 9, 2020

Key facts

NPI
1982202230
Entity type
Organization (NPI type 2)
Primary specialty
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
Legal business name
CARDINAL PATHOLOGY, PC
Practice address
501 Airport Road
Grand River Hospital District
Rifle, CO 81650
Phone
(970) 945-7564
Fax
(970) 945-0563
NPI assigned
Oct 9, 2020
Organization subpart
Yes
Parent organization (as reported)
CARDINAL PATHOLOGY, PC

Authorized official

Name
Robert M. Macaulay, MD
Title
President
Phone
(970) 945-7564

Corporate family (same tax ID) 6

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Cardinal Pathology PC (7 organizations share this tax ID)
Part of
Cardinal Pathology PC

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207ZP0102X Yes

Addresses

Primary practice location

501 Airport Road
Grand River Hospital District
Rifle, CO 81650

Mailing address

PO Box #2725
Glenwood Springs, CO 81602-2725
Phone (970) 945-7564

Other providers in Rifle, CO

All providers in Rifle, CO · Anatomic Pathology & Clinical Pathology Physician in Colorado

Sources for this page

Verify at the official NPI Registry.