INTERSCOPE PATHOLOGY MEDICAL GROUP INC
NPI 1104830074
Pathology - Anatomic Pathology & Clinical Pathology in Westlake Village, CA
NPI Status: Active since July 28, 2006
Contact Information
30700 RUSSELL RANCH RD SUITE 250, UNIT 235
WESTLAKE VILLAGE, CA
ZIP 91362
Phone: (818) 992-7848
Fax: (818) 992-7748
- Organization
- Pathology
- Anatomic Pathology & Clinical Pathology
- CLIA Number: 05D0700248
- CLIA Cert. Type: Independent
- CLIA Exp. Date: 05-31-2026
About INTERSCOPE PATHOLOGY MEDICAL GROUP INC
This page provides the complete NPI Profile along with additional information for Interscope Pathology Medical Group Inc, a provider established in Westlake Village, California operating as a Pathology, focusing in anatomic pathology & clinical pathology . The healthcare provider is registered in the NPI registry with number 1104830074 assigned on July 2006. The practitioner's primary taxonomy code is 207ZP0102X with license number 05D0700248 (CA). The provider is registered as an organization and their NPI record was last updated January 2026. Interscope Pathology Medical Group Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Bryan T Lin M.d. (Treasuer/president)
- NPI
- 1104830074
- Provider Name
- INTERSCOPE PATHOLOGY MEDICAL GROUP INC
- Entity Type
- Organization
- Location Address
- 30700 RUSSELL RANCH RD SUITE 250, UNIT 235 WESTLAKE VILLAGE, CA 91362
- Location Phone
- (818) 992-7848
- Location Fax
- (818) 992-7748
- Mailing Address
- 30700 RUSSELL RANCH RD STE 250 WESTLAKE VILLAGE, CA 91362
- Mailing Phone
- (818) 992-7848
- Mailing Fax
- (818) 992-7748
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-28-2006
- Last Update Date
- 01-05-2026
- 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 Anatomic Pathology & Clinical Pathology
- Taxonomy Code
- 207ZP0102X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 05D0700248
- License State
- CA
- 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.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA 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
- 05D0700248
- Facility Type
- Independent
- Certificate Effective Date
- August 09, 2021
- Certificate Expiration Date
- May 31, 2026
- Laboratory Director
- BRYAN T. LIN
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Interscope Pathology Medical Group Inc 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 NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1104830074, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 46 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
WESTLAKE VILLAGE, CA 91362
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104830074, enumerated as an "organization" on July 28, 2006.
The provider is located at 30700 RUSSELL RANCH RD SUITE 250, UNIT 235 WESTLAKE VILLAGE, CA 91362 and the phone number is (818) 992-7848.
Pathology with taxonomy code 207ZP0102X and a focus in Anatomic Pathology & Clinical Pathology.
