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CCHS PATHOLOGY
Complete NPI Record 1245674993
Pathology - Anatomic Pathology in Newark, DE

NPI Status: Active since April 24, 2013

Contact Information

4755 OGLETOWN STANTON RD
CHRISTIANA HOSPITAL
NEWARK, DE
ZIP 19718
Phone: (302) 733-1000

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Table of Contents

  1. NPI
  2. Entity Type Code
  3. Employer Identification Number EIN
  4. Provider Organization Name Legal Business Name
  5. Provider Other Organization Name
  6. Provider Other Organization Name Type Code
  7. Provider First Line Business Mailing Address
  8. Provider Business Mailing Address City Name
  9. Provider Business Mailing Address State Name
  10. Provider Business Mailing Address Postal Code
  11. Provider Business Mailing Address Country Code If outside U S
  12. Provider First Line Business Practice Location Address
  13. Provider Second Line Business Practice Location Address
  14. Provider Business Practice Location Address City Name
  15. Provider Business Practice Location Address State Name
  16. Provider Business Practice Location Address Postal Code
  17. Provider Business Practice Location Address Country Code If outside U S
  18. Provider Business Practice Location Address Telephone Number
  19. Provider Enumeration Date
  20. Last Update Date
  21. Authorized Official Last Name
  22. Authorized Official First Name
  23. Authorized Official Middle Name
  24. Authorized Official Title or Position
  25. Authorized Official Telephone Number
  26. Healthcare Provider Taxonomy Code 1
  27. Healthcare Provider Primary Taxonomy Switch 1
  28. Healthcare Provider Taxonomy Code 2
  29. Healthcare Provider Primary Taxonomy Switch 2
  30. Healthcare Provider Taxonomy Code 3
  31. Healthcare Provider Primary Taxonomy Switch 3
  32. Healthcare Provider Taxonomy Code 4
  33. Healthcare Provider Primary Taxonomy Switch 4
  34. Healthcare Provider Taxonomy Code 5
  35. Healthcare Provider Primary Taxonomy Switch 5
  36. Healthcare Provider Taxonomy Code 6
  37. Healthcare Provider Primary Taxonomy Switch 6
  38. Healthcare Provider Taxonomy Code 7
  39. Healthcare Provider Primary Taxonomy Switch 7
  40. Healthcare Provider Taxonomy Code 8
  41. Healthcare Provider Primary Taxonomy Switch 8
  42. Healthcare Provider Taxonomy Code 9
  43. Healthcare Provider Primary Taxonomy Switch 9
  44. Healthcare Provider Taxonomy Code 10
  45. Healthcare Provider Primary Taxonomy Switch 10
  46. Healthcare Provider Taxonomy Code 11
  47. Healthcare Provider Primary Taxonomy Switch 11
  48. Healthcare Provider Taxonomy Code 12
  49. Healthcare Provider Primary Taxonomy Switch 12
  50. Healthcare Provider Taxonomy Code 13
  51. Healthcare Provider Primary Taxonomy Switch 13
  52. Healthcare Provider Taxonomy Code 14
  53. Healthcare Provider Primary Taxonomy Switch 14
  54. Healthcare Provider Taxonomy Code 15
  55. Healthcare Provider Primary Taxonomy Switch 15
  56. Is Organization Subpart
  57. Parent Organization LBN
  58. Parent Organization TIN
  59. Authorized Official Name Suffix Text
  60. Healthcare Provider Taxonomy Group 1
  61. Healthcare Provider Taxonomy Group 2
  62. Healthcare Provider Taxonomy Group 3
  63. Healthcare Provider Taxonomy Group 4
  64. Healthcare Provider Taxonomy Group 5
  65. Healthcare Provider Taxonomy Group 6
  66. Healthcare Provider Taxonomy Group 7
  67. Healthcare Provider Taxonomy Group 8
  68. Healthcare Provider Taxonomy Group 9
  69. Healthcare Provider Taxonomy Group 10
  70. Healthcare Provider Taxonomy Group 11
  71. Healthcare Provider Taxonomy Group 12
  72. Healthcare Provider Taxonomy Group 13
  73. Healthcare Provider Taxonomy Group 14
  74. Healthcare Provider Taxonomy Group 15
  75. NPI Certification Date

Complete NPI Dataset

This page represents the complete record for NPI 1245674993. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1245674993
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code: 2
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Employer Identification Number EIN: UNAVAIL
The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
The name of the organization provider. If the provider is an organization, this is the legal business name.
Provider Other Organization Name: CCHS PATHOLOGY
Other name by which the organization provider is or has been known.
Provider Other Organization Name Type Code: 3
Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
Provider First Line Business Mailing Address: 200 HYGEIA DR
The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider Business Mailing Address City Name: NEWARK
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address State Name: DE
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Business Mailing Address Postal Code: 197132049
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address Country Code If outside U S : US
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider First Line Business Practice Location Address: 4755 OGLETOWN STANTON RD
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Second Line Business Practice Location Address: CHRISTIANA HOSPITAL
The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name: NEWARK
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name: DE
The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 197182200
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S : US
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 3027331000
The telephone number associated with the location address of the provider being identified.
Provider Enumeration Date: 4/24/2013
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 12/17/2021
The date that a record was last updated or changed.
Authorized Official Last Name: MCMURRAY
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First Name: ROBERT
The first name of the authorized official.
Authorized Official Middle Name: W
The middle name of the authorized official.
Authorized Official Title or Position: CFO
The title or position of the authorized official.
Authorized Official Telephone Number: 3024282522
The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code 1: 207RC0000X
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 1: N
Healthcare Provider Taxonomy Code 2: 207RP1001X
Healthcare Provider Primary Taxonomy Switch 2: N
Healthcare Provider Taxonomy Code 3: 207RX0202X
Healthcare Provider Primary Taxonomy Switch 3: N
Healthcare Provider Taxonomy Code 4: 207U00000X
Healthcare Provider Primary Taxonomy Switch 4: N
Healthcare Provider Taxonomy Code 5: 207ZC0500X
Healthcare Provider Primary Taxonomy Switch 5: N
Healthcare Provider Taxonomy Code 6: 207ZP0101X
Healthcare Provider Primary Taxonomy Switch 6: Y
Healthcare Provider Taxonomy Code 7: 207ZP0102X
Healthcare Provider Primary Taxonomy Switch 7: N
Healthcare Provider Taxonomy Code 8: 208100000X
Healthcare Provider Primary Taxonomy Switch 8: N
Healthcare Provider Taxonomy Code 9: 2084N0400X
Healthcare Provider Primary Taxonomy Switch 9: N
Healthcare Provider Taxonomy Code 10: 2084P0800X
Healthcare Provider Primary Taxonomy Switch 10: N
Healthcare Provider Taxonomy Code 11: 2085N0700X
Healthcare Provider Primary Taxonomy Switch 11: N
Healthcare Provider Taxonomy Code 12: 2085R0202X
Healthcare Provider Primary Taxonomy Switch 12: N
Healthcare Provider Taxonomy Code 13: 2085R0204X
Healthcare Provider Primary Taxonomy Switch 13: N
Healthcare Provider Taxonomy Code 14: 2086S0129X
Healthcare Provider Primary Taxonomy Switch 14: N
Healthcare Provider Taxonomy Code 15: 207RS0012X
Healthcare Provider Primary Taxonomy Switch 15: N
Is Organization Subpart: Y
Parent Organization LBN: CHRISTIANA CARE HEALTH SERVICES INC
Parent Organization TIN: UNAVAIL
Authorized Official Name Suffix Text: JR.
Healthcare Provider Taxonomy Group 1: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 2: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 3: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 4: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 5: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 6: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 7: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 8: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 9: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 10: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 11: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 12: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 13: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 14: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 15: 193200000X MULTI-SPECIALTY GROUP
NPI Certification Date: 12/17/2021