WESTERN PATHOLOGY CONSULTANTS, LTD
NPI 1770587511
Pathology - Clinical Pathology/Laboratory Medicine in Reno, NV
NPI Status: Active since June 09, 2005
Contact Information
343 ELM ST
SUITE 206
RENO, NV
ZIP 89503
Phone: (775) 746-3400
Fax: (775) 746-3411
- Organization
- Pathology
- Clinical Pathology/Laboratory Medicine
- Accepts Insurance
- CLIA Number: 29D2264866
- CLIA Cert. Type: Independent
- CLIA Exp. Date: 01-09-2027
About WESTERN PATHOLOGY CONSULTANTS, LTD
This page provides the complete NPI Profile along with additional information for Western Pathology Consultants, Ltd, a provider established in Reno, Nevada operating as a Pathology, focusing in clinical pathology/laboratory medicine . The healthcare provider is registered in the NPI registry with number 1770587511 assigned on June 2005. The practitioner's primary taxonomy code is 207ZP0105X with license number NV1512LIC-5 (NV). The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Michael Grattendick (Vice President)
- NPI
- 1770587511
- Provider Name
- WESTERN PATHOLOGY CONSULTANTS, LTD
- Entity Type
- Organization
- Location Address
- 343 ELM ST SUITE 206 RENO, NV 89503
- Location Phone
- (775) 746-3400
- Location Fax
- (775) 746-3411
- Mailing Address
- 11025 RCA CENTER DR SUITE 300 PALM BEACH GARDENS, FL 33410
- Mailing Phone
- (561) 626-5512
- Mailing Fax
- (775) 746-3411
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-09-2005
- Last Update Date
- 08-26-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pathology Clinical Pathology/Laboratory Medicine
- Taxonomy Code
- 207ZP0105X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- NV1512LIC-5
- License State
- NV
- Taxonomy Description
- A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 291U00000X | Laboratories | Clinical Medical Laboratory | NV1512LIC-5 (NV) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Clear VALUE Silver - HMO
- Complete VALUE Gold - HMO
- Focused VALUE Silver - HMO
- Focused VALUE Silver + Vision + Adult Dental - HMO
- Standard Gold VALUE - HMO
- Standard Silver VALUE - HMO
- Standard Silver VALUE + Vision + Adult Dental - HMO
- Complete VALUE Gold - HMO
- Complete VALUE Silver - HMO
- Elite VALUE Bronze - HMO
- Focused VALUE Silver - HMO
- Standard Expanded Bronze VALUE - HMO
- Standard Gold VALUE - HMO
- Standard Silver VALUE - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| XXGG007750 | OTHER (01) | NV | MEDICAL |
| 201672000 | MEDICAID (05) | NV |
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Blood smear interpretation by physician with written report
Bone marrow, smear interpretation
Cell examination of body fluid, smears
Cell examination of specimen, concentration technique
Cell examination of specimen, selective cellular enhancement technique
Cell examination of specimen, selective cellular enhancement technique
Evaluation of fine needle aspirate
Evaluation of fine needle aspirate
Evaluation of fine needle aspirate with interpretation and report
Evaluation of fine needle aspirate with interpretation and report
Microscopic genetic analysis of tumor, manual
Microscopic genetic analysis of tumor, manual
Pap test, evaluation of fine needle aspirate, immediate, each additional evaluation episode
Pathology cytologic examination of specimen during surgery, initial site
Pathology examination of specimen during surgery
Pathology examination of specimen during surgery, first tissue block
Pathology examination of tissue using a microscope
Pathology examination of tissue using a microscope, high complexity
Pathology examination of tissue using a microscope, intermediate complexity
Pathology examination of tissue using a microscope, intermediate complexity
Pathology examination of tissue using a microscope, limited examination
Pathology examination of tissue using a microscope, moderately high complexity
Pathology examination of tissue using a microscope, moderately high complexity
Pathology examination of tissue using a microscope, moderately low complexity
Pathology examination of tissue using a microscope, moderately low complexity
Preparation of tissue for examination by removing any calcium present
Preparation of tissue for examination by removing any calcium present
Special stained specimen slides to examine tissue including interpretation and report
Special stained specimen slides to examine tissue, each additional procedure
Special stained specimen slides to examine tissue, each additional procedure
Special stained specimen slides to examine tissue, each multiplex procedure
Special stained specimen slides to examine tissue, initial procedure
Special stained specimen slides to examine tissue, initial procedure
Special stained specimen slides to identify organisms including interpretation and report
Special stained specimen slides to identify organisms including interpretation and report
Surgical pathology consultation and report on referred material requiring preparation of slides
Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method
Blood smear interpretation is a lab test where your doctor examines a sample of your blood under a microscope. They look for abnormalities in your blood cells which can help diagnose various conditions. You'll receive a written report of the findings.
This service was performed 15 times for 15 patientsBone marrow smear interpretation is a procedure where a small sample of your bone marrow is taken and examined under a microscope. This helps doctors identify any abnormal cells or signs of diseases such as anemia, leukemia, or infections. It's a crucial step in diagnosing various blood disorders.
This service was performed 51 times for 49 patientsCell examination of body fluid, or smear, is a laboratory test where a sample of your body fluid is taken. It's then thinly spread on a glass slide and examined under a microscope to check for abnormalities. This can help diagnose various health conditions.
This service was performed 24 times for 20 patientsCell examination of a specimen using a concentration technique is a lab process that enhances the detection of cells in a sample. This method helps to focus on key areas of the sample, making it easier to spot abnormalities or changes. It's a crucial part of diagnosing and monitoring certain health conditions.
This service was performed 19 times for 18 patientsCell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.
This service was performed 289 times for 244 patientsCell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.
This service was performed 348 times for 296 patientsEvaluation of fine needle aspirate is a diagnostic procedure where a thin needle is used to collect cells from a lump or mass. This sample is then examined under a microscope to determine the nature of the lump, whether it's benign (non-cancerous) or malignant (cancerous).
This service was performed 137 times for 93 patientsEvaluation of fine needle aspirate is a diagnostic procedure where a thin needle is used to collect cells from a lump or mass. This sample is then examined under a microscope to determine the nature of the lump, whether it's benign (non-cancerous) or malignant (cancerous).
This service was performed 40 times for 33 patientsThis procedure involves using a thin needle to collect a small sample from an abnormal area or lump. The sample is then examined under a microscope to identify any potential issues. A report of the findings is provided for further analysis.
This service was performed 176 times for 118 patientsThis procedure involves using a thin needle to collect a small sample from an abnormal area or lump. The sample is then examined under a microscope to identify any potential issues. A report of the findings is provided for further analysis.
This service was performed 48 times for 39 patientsMicroscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.
This service was performed 241 times for 109 patientsMicroscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.
This service was performed 85 times for 34 patientsA Pap test is a procedure that checks for abnormal cells in the body, which could indicate a serious condition. The evaluation of a fine needle aspirate is a process where a small sample is taken with a thin needle for examination. This can be done multiple times for a thorough analysis.
This service was performed 79 times for 35 patientsA pathology cytologic examination during surgery involves taking a small sample of cells from the initial site of concern. This sample is then examined under a microscope by a pathologist to check for any abnormal or disease-causing cells. This helps guide the ongoing surgical procedure.
This service was performed 79 times for 71 patientsA pathology examination during surgery involves taking a small sample of tissue for testing while the operation is ongoing. This helps the surgeon make immediate decisions about your treatment. The sample is examined under a microscope by a pathologist to identify any abnormal cells or conditions.
This service was performed 13 times for 13 patientsA pathology examination during surgery involves the immediate analysis of a removed tissue sample. This helps the surgeon make decisions during your operation. The "first tissue block" refers to the initial sample examined. It's a vital step to ensure your health.
This service was performed 89 times for 49 patientsA pathology examination of tissue involves studying a small sample of your body's cells under a microscope. This helps identify any abnormalities or diseases, such as cancer. The process is crucial for accurate diagnosis and treatment planning.
This service was performed 33 times for 32 patientsA high complexity pathology examination involves studying body tissue under a microscope to identify any abnormalities. This intricate process helps in diagnosing various conditions and deciding on the best treatment plan.
This service was performed 67 times for 66 patientsA pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
This service was performed 4,618 times for 2,082 patientsA pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
This service was performed 3,240 times for 676 patientsA pathology examination of tissue using a microscope is a procedure where a small sample of your tissue is observed under a microscope. This limited examination helps identify any abnormal cells or signs of disease, aiding in accurate diagnosis and treatment planning.
This service was performed 102 times for 101 patientsA pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
This service was performed 507 times for 360 patientsA pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
This service was performed 22 times for 21 patientsA pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
This service was performed 327 times for 286 patientsA pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
This service was performed 108 times for 92 patientsThis procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.
This service was performed 170 times for 136 patientsThis procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.
This service was performed 24 times for 16 patientsSpecial stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
This service was performed 114 times for 65 patientsSpecial stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
This service was performed 1,101 times for 234 patientsSpecial stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
This service was performed 243 times for 70 patientsSpecial stained specimen slides are used to study tissue in detail. This multiplex procedure involves applying different dyes to the tissue sample on a slide to highlight specific elements. These colors help identify any abnormalities in the tissue, aiding in accurate diagnosis and treatment planning.
This service was performed 81 times for 40 patientsThis procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
This service was performed 386 times for 325 patientsThis procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
This service was performed 118 times for 111 patientsThis service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
This service was performed 55 times for 41 patientsThis service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
This service was performed 24 times for 21 patientsA surgical pathology consultation involves the examination of tissue removed during surgery. The tissue is processed and slides are prepared for detailed study under a microscope. The findings are then compiled into a report to help guide your treatment plan.
This service was performed 18 times for 18 patientsThis procedure involves taking a small tissue sample from your gland located beneath your bladder. The sample is then examined under a microscope by a pathologist to check for any abnormalities or diseases. This is a standard method to ensure your well-being.
This service was performed 33 times for 33 patientsCLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 29D2264866
- Facility Type
- Independent
- Certificate Effective Date
- January 10, 2025
- Certificate Expiration Date
- January 09, 2027
- Laboratory Director
- JOHNATHAN M HOLLYFIELD
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Western Pathology Consultants, Ltd after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 7 | 0 | 5 | 8 | 7 | 5 | 1 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 14 | 0 | 10 | 8 | 14 | 5 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 4 + 0 + 1 + 0 + 8 + 1 + 4 + 5 + 2 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1770587511 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 18 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1083725436 | MICHAEL B ARAMINI DPM Individual | Podiatrist (Foot & Ankle Surgery) | 343 ELM ST STE 302 RENO, NV 89503 (775) 324-1122 |
| 1700963329 | MICHAEL B ARAMINI DPM LTD Organization | Podiatrist (Foot & Ankle Surgery) | 343 ELM ST STE 302 RENO, NV 89503 (775) 324-1122 |
| 1962567735 | KATHLEEN RUTH VANDER WALL AU.D. Individual | Audiologist | 343 ELM ST # 204 RENO, NV 89503 (775) 329-7017 |
| 1710190665 | DR. RAKESH KOCHIKAR PAI M.D. Individual | Internal Medicine (Clinical Cardiac Electrophysiology) | 343 ELM ST SUITE 400 RENO, NV 89503 (775) 323-6700 |
| 1881923613 | MR. CHRISTOPHER JON WOODWARD RNFA Individual | Registered Nurse (Registered Nurse First Assistant) | 343 ELM ST 202 RENO, NV 89503 (775) 323-6100 |
| 1790009785 | SUZANNE ROBERT APN Individual | Nurse Practitioner (Family) | 343 ELM ST RENO, NV 89503 (775) 323-6100 |
| 1396799219 | BEATE H MCGHEE A.P.N. Individual | Nurse Practitioner (Adult Health) | 343 ELM ST SUITE 202 RENO, NV 89503 (775) 323-6100 |
| 1124067491 | MICHAEL H SONG M.D. Individual | Neurological Surgery | 343 ELM ST SUITE 202 RENO, NV 89503 (775) 323-6100 |
| 1508288135 | TIMOTHY BLAKE B.S. Individual | Hearing Instrument Specialist | 343 ELM ST SUITE 204 RENO, NV 89503 (775) 329-7017 |
| 1003134107 | MICHAEL SCOTT POWELL MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 343 ELM ST SUITE 206 RENO, NV 89503 (775) 746-3400 |
| 1639586266 | ARLO C SCHENK APN Individual | Nurse Practitioner | 343 ELM ST STE 202 RENO, NV 89503 (775) 284-8650 |
| 1194279992 | RENO FOOT & ANKLE INSTITUTE LLC Organization | Podiatrist | 343 ELM ST SUITE 302 RENO, NV 89503 (775) 826-2662 |
| 1326583410 | ADVANCED VASCULAR & VEIN CARE (AKHTAR) Organization | Surgery (Vascular Surgery) | 343 ELM ST STE 308 RENO, NV 89503 (775) 789-7000 |
| 1790126605 | PROBIR SARKER NP Individual | Nurse Practitioner (Family) | 343 ELM ST SUITE 400 RENO, NV 89503 (775) 770-6750 |
| 1093730905 | BUD A. WEST, M. D., LTD. Organization | Otolaryngology | 343 ELM ST STE 204 RENO, NV 89503 (775) 323-2157 |
| 1003366188 | WESTERN PATHOLOGY CONSULTANTS, LTD Organization | Pathology (Anatomic Pathology & Clinical Pathology) | 343 ELM ST SUITE 206 RENO, NV 89503 (775) 746-3400 |
| 1821170093 | DR. SHIBU DASAPPAN SKARIA M.D. Individual | Internal Medicine (Pulmonary Disease) | 343 ELM ST SUITE 402 RENO, NV 89503 (775) 770-7640 |
| 1285768903 | SURGERY CENTER OF RENO, LLC Organization | Clinic/Center (Ambulatory Surgical) | 343 ELM ST SUITE 100 RENO, NV 89503 (775) 336-6900 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770587511, enumerated in the NPI registry as an "organization" on June 09, 2005
The provider is located at 343 Elm St Suite 206 Reno, Nv 89503 and the phone number is (775) 746-3400
This medical organization specializes in Pathology with taxonomy code 207ZP0105X with a focus in Clinical Pathology/Laboratory Medicine
The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The most common procedures or services performed by this practitioner are: Blood smear interpretation by physician with written report, Bone marrow, smear interpretation, Cell examination of body fluid, smears, Cell examination of specimen, concentration technique, Cell examination of specimen, selective cellular enhancement technique, Cell examination of specimen, selective cellular enhancement technique, Evaluation of fine needle aspirate, Evaluation of fine needle aspirate, Evaluation of fine needle aspirate with interpretation and report, Evaluation of fine needle aspirate with interpretation and report, Microscopic genetic analysis of tumor, manual, Microscopic genetic analysis of tumor, manual, Pap test, evaluation of fine needle aspirate, immediate, each additional evaluation episode, Pathology cytologic examination of specimen during surgery, initial site, Pathology examination of specimen during surgery, Pathology examination of specimen during surgery, first tissue block, Pathology examination of tissue using a microscope, Pathology examination of tissue using a microscope, high complexity, Pathology examination of tissue using a microscope, intermediate complexity, Pathology examination of tissue using a microscope, intermediate complexity, Pathology examination of tissue using a microscope, limited examination, Pathology examination of tissue using a microscope, moderately high complexity, Pathology examination of tissue using a microscope, moderately high complexity, Pathology examination of tissue using a microscope, moderately low complexity, Pathology examination of tissue using a microscope, moderately low complexity, Preparation of tissue for examination by removing any calcium present, Preparation of tissue for examination by removing any calcium present, Special stained specimen slides to examine tissue including interpretation and report, Special stained specimen slides to examine tissue, each additional procedure, Special stained specimen slides to examine tissue, each additional procedure, Special stained specimen slides to examine tissue, each multiplex procedure, Special stained specimen slides to examine tissue, initial procedure, Special stained specimen slides to examine tissue, initial procedure, Special stained specimen slides to identify organisms including interpretation and report, Special stained specimen slides to identify organisms including interpretation and report, Surgical pathology consultation and report on referred material requiring preparation of slides and Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method.
The provider's CLIA number is 29D2264866 for a "independent" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on June 09, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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